Individual
MR. ELIE IBRAHIM SALAMEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
200 LA RUE FRANCE, STE 201, LAFAYETTE, LA 70508-3104
(337) 235-9355
(337) 235-9356
Mailing address
200 LA RUE FRANCE, STE 201, LAFAYETTE, LA 70508-3104
(337) 235-9355
(337) 235-9356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03949
LA
363LF0000X
Family Nurse Practitioner
R119966
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
306423
AMERIGROUP
MD
05
—
413553900
—
MD
01
—
896207-01
BCBS MD
MD
Enumeration date
01/27/2007
Last updated
07/27/2016
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