Individual
ELIZABETH CHESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1560 IRVING PL, SHREVEPORT, LA 71101-4604
(318) 212-1194
Mailing address
158 ALBANY AVE, SHREVEPORT, LA 71105-2102
(318) 542-2561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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