Individual
ELIZABETH MICHELLE DOOLITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2449 HOSPITAL DR STE 300, BOSSIER CITY, LA 71111
(318) 212-7960
(318) 212-7965
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-8951
(318) 212-6752
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200120
LA
363AS0400X
Surgical Physician Assistant
200120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004383
—
LA
Enumeration date
05/01/2007
Last updated
12/14/2018
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