La Salle, Elizabeth D'Antonio

La Salle, Elizabeth D'Antonio is an individual health care provider with primary practice located at 42570 S Airport Rd , Hammond LA 70403-0946. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. La Salle, Elizabeth D'Antonio can be contacted via phone (985) 510-6135.

Contact Information

Primary practice address
42570 S Airport Rd Hammond LA 70403-0946
Phone: (985) 510-6135
Fax: (985) 510-6202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN098142 Louisiana

Profile Details

NPI number 1922203579
LBN Legal business name La Salle, Elizabeth D'Antonio
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Mar 12th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922203579 NPPES
Louisiana Other P01023462 RR MEDICARE
Louisiana MEDICAID 1024228 RR MEDICARE

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