Individual
MADISON ELIZABETH FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6003 RIVERBEND LAKES DR, BATON ROUGE, LA 70820-5050
(225) 315-8001
Mailing address
6003 RIVERBEND LAKES DR, BATON ROUGE, LA 70820-5050
(225) 315-8001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
746
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
07/08/2015
Last updated
05/28/2019
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