Individual
MARY ELIZABETH CORBELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4345 NELSON RD. STE. 201, LAKE CHARLES, LA 70605
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122205 DEPT 2205, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07759
LA
Other
Enumeration date
06/06/2014
Last updated
06/11/2024
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