Individual
ELIZABETH ROTHELL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4335 RICHMOND AVE, SHREVEPORT, LA 71106-1417
(318) 458-8403
Mailing address
219 RADBROOK DR, BOSSIER CITY, LA 71112-8610
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN065294
LA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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