Individual
MRS. LIBBY ELLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE N308, MARRERO, LA 70072-3151
(504) 349-6390
(504) 349-6391
Mailing address
1111 MEDICAL CENTER BLVD, STE N308, MARRERO, LA 70072-3151
(504) 349-6390
(504) 349-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12226R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1698628
—
LA
Enumeration date
07/26/2006
Last updated
10/15/2009
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