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Individual

ELIZABETH INNES MCBURNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1245 CAMELLIA BOULEVARD, SUITE 300, LAFAYETTE, LA 70508
(337) 839-2773
(337) 839-2762
Mailing address
1245 CAMELLIA BLVD, SUITE 300, LAFAYETTE, LA 70508-7219
(337) 839-2773
(337) 839-2762

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.011078
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1136981
LA
Enumeration date
07/24/2006
Last updated
02/22/2013
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