Individual
ELISA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1319 JEFFERSON HWY, JEFFERSON, LA 70121-2406
(504) 842-3900
Mailing address
1319 JEFFERSON HWY, JEFFERSON, LA 70121-2406
(504) 842-3900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T2689
TX
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
348423
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/25/2017
Last updated
07/22/2025
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