NPI 1356887632

Elizabeth Davis

Practitioner Mastectomy Fitter Ruston, LA

Practice location

Address: 804 N Trenton St, Ruston, LA 71270-3326
Phone: (318) 254-0033
Fax: (318) 254-0034
Mailing address: PO Box 698, Ruston, LA 71273-0698

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1356887632
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2017
Record last updated: 11 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.