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Elizabeth Nicole Wallis, MD
Pediatrics Physician in Gonzales, Louisiana
NPI 1821551334

Elizabeth Nicole Wallis is a Pediatrics Physician based in Baton Rouge, LA. Elizabeth Nicole Wallis practices in Gonzales, LA and has the professional credentials of MD. The NPI Number for Elizabeth Nicole Wallis is 1821551334 and holds a License No. (Louisiana).

The current practice location address for Elizabeth Nicole Wallis is 1937 S Burnside Ave, Gonzales, LA and can be reached out via phone at 225-765-5500 and via fax at 225-644-9286. You can also correspond with Elizabeth Nicole Wallis through the mailing address at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA - 70816-6038 (mailing address contact number: 225-765-5500).

Location: 1937 S Burnside Ave, Gonzales, LA, 70816-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821551334
Provider Name
Elizabeth Nicole Wallis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1937 S Burnside Ave, Gonzales, LA, 70816-6038
Phone Number
225-765-5500
Fax Number
225-644-9286
Provider Enumeration Date
04/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1937 S Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-4632
Phone Number
225-765-5500
Fax Number
225-644-9286
person
Provider Business Mailing Address Details
Address
1937 S Burnside Ave
City
Gonzales
State
Louisiana
Zip
70737-4632
Phone Number
225-765-5500
Fax Number
225-644-9286
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
331615 (Louisiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Louisiana)
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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