Individual
ELYSE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-7021
(504) 962-6120
Mailing address
433 BOLIVAR ST, NEW ORLEANS, LA 70112-7021
(404) 307-4415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
323642
LA
Other
Enumeration date
03/30/2017
Last updated
10/07/2020
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