Individual
MRS. HUNTLEY ELIZABETH TILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2116 N BOLTON AVE, ALEXANDRIA, LA 71303-4405
(318) 441-0200
Mailing address
2116 N BOLTON AVE, ALEXANDRIA, LA 71303-4405
(318) 441-0200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30002972
LA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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