Organization
ELIZABETH LE,DPM,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LE DPM (OWNER)
(225) 667-6497
Entity
Organization
Contact information
Practice address
1524 S RANGE AVE, DENHAM SPRINGS, LA 70726-5218
(225) 667-6497
(225) 791-3899
Mailing address
1524 S RANGE AVE, DENHAM SPRINGS, LA 70726-5218
(225) 667-6497
(225) 791-3899
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PD173R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685089
—
LA
01
—
2700152
UNITED HEALTH CARE
LA
01
—
C2580
BLUE CROSS BLUE SHIELD
LA
Enumeration date
12/23/2009
Last updated
12/23/2009
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