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Amy Elizabeth Macmullin, MD
Student in an Organized Health Care Education/Training Program in Lake Charles, Louisiana
NPI 1477936631

Amy Elizabeth Macmullin is a Student in an Organized Health Care Education/Training Program based in Lake Charles, LA. Amy Elizabeth Macmullin practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Amy Elizabeth Macmullin is 1477936631 and holds a License No. (Louisiana).

The current practice location address for Amy Elizabeth Macmullin is 1525 Oak Park Blvd, Lake Charles, LA and can be reached out via phone at 337-494-6767 and via fax at 337-494-6750.

Location: 1525 Oak Park Blvd, Lake Charles, LA, 70601-8849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477936631
Provider Name
Amy Elizabeth Macmullin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1525 Oak Park Blvd, Lake Charles, LA, 70601-8849
Phone Number
337-494-6767
Fax Number
337-494-6750
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1525 Oak Park Blvd
City
Lake Charles
State
Louisiana
Zip
70601-8849
Phone Number
337-494-6767
Fax Number
337-494-6750
person
Provider Business Mailing Address Details
Address
1525 Oak Park Blvd
City
Lake Charles
State
Louisiana
Zip
70601-8849
Phone Number
337-494-6767
Fax Number
337-494-6750
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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