Individual
ELIZABETH M. MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
437 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8989
(337) 289-8999
Mailing address
437 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 289-8989
(337) 289-8999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10045R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1678724
—
LA
Enumeration date
10/18/2005
Last updated
07/08/2007
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