Individual
ELIZABETH WOOD MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1211 COOLIDGE BLVD STE 404, LAFAYETTE, LA 70503-2638
(337) 289-8478
Mailing address
PO BOX 919229, DALLAS, TX 75391-9229
(337) 289-8944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
024327
LA
207Q00000X
Family Medicine Physician
Primary
024327
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1186228
—
LA
01
—
P00464877
RAILROAD MEDICARE
LA
Enumeration date
07/31/2006
Last updated
02/20/2020
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