ELISE THIBODEAUX

LAKE CHARLES, LA
NPI1356173868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  1356173868)
Enumeration Date2024-08-14
Last Update Date2026-07-31
Business Address
ELISE THIBODEAUX
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-6767
Mailing Address
ELISE THIBODEAUX
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601-8849
Phone number: 337-494-6767