Individual
ELLEN FOSTER RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2225 LINE AVE, SHREVEPORT, LA 71104-2198
(318) 221-2225
(318) 459-2955
Mailing address
2225 LINE AVE, SHREVEPORT, LA 71104-2198
(318) 221-2225
(318) 459-2955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
334498
LA
Other
Enumeration date
04/20/2020
Last updated
09/07/2023
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