Organization
ELIZABETH CLUBB, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN CLUBB M.D. (PRESIDENT/ SURGEON)
(225) 766-7771
Entity
Organization
Contact information
Practice address
BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70836-1206
(225) 766-7771
(225) 766-7995
Mailing address
4864 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70809-9644
(225) 766-7771
(225) 766-7995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11291R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1664278
—
LA
Enumeration date
04/10/2006
Last updated
05/13/2008
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