Individual
DENISE LEA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1111 MEDICAL CENTER BLVD, N507, MARRERO, LA 70072-3151
(504) 349-6633
(504) 349-6631
Mailing address
1111 MEDICAL CENTER BLVD, N507, MARRERO, LA 70072-3151
(504) 349-6633
(504) 349-6631
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PD228R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431206
—
LA
Enumeration date
02/09/2006
Last updated
04/25/2008
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