Individual provider · Type 1 NPI
Elizabeth Davis
Mastectomy Fitter · Ruston, LA
NPI number
1356887632
Active
Practice location
804 N Trenton St
Ruston, LA 71270-3326
Fax (318) 254-0034
Mailing address
PO Box 698
Ruston, LA 71273-0698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | None listed |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1356887632
Elizabeth Davis's National Provider Identifier is 1356887632, issued on Jan 11, 2017. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Ruston, LA. The record was last updated on Jan 11, 2017.