Individual
ERYN EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCPT
Contact information
Practice address
106 HEYMANN BLVD, LAFAYETTE, LA 70503-2322
(337) 504-4279
(337) 504-4692
Mailing address
106 HEYMANN BLVD, LAFAYETTE, LA 70503-2322
(337) 504-4279
(337) 504-4692
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
1072852
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072852
NCCT
LA
Enumeration date
07/09/2020
Last updated
07/09/2020
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