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Mrs. Elizabeth Davis
Mastectomy Fitter in Ruston, Louisiana
NPI 1356887632

Elizabeth Davis is a Mastectomy Fitter based in Ruston, LA. Elizabeth Davis practices in Ruston, LA. The NPI Number for Elizabeth Davis is 1356887632 and holds a License No. (Louisiana).

The current practice location address for Elizabeth Davis is 804 N Trenton St, Ruston, LA and can be reached out via phone at 318-254-0033 and via fax at 318-254-0034.

Location: 804 N Trenton St, Ruston, LA, 71273-0698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356887632
Provider Name
Elizabeth Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
804 N Trenton St, Ruston, LA, 71273-0698
Phone Number
318-254-0033
Fax Number
318-254-0034
Provider Enumeration Date
01/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
804 N Trenton St
City
Ruston
State
Louisiana
Zip
71270-3326
Phone Number
318-254-0033
Fax Number
318-254-0034
person
Provider Business Mailing Address Details
Address
804 N Trenton St
City
Ruston
State
Louisiana
Zip
71270-3326
Phone Number
318-254-0033
Fax Number
318-254-0034
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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