Provider Demographics
NPI:1407172893
Name:ZABEL, ELIZABETH HOLT (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HOLT
Last Name:ZABEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 N VICTOR II BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1382
Mailing Address - Country:US
Mailing Address - Phone:985-702-2229
Mailing Address - Fax:985-384-0329
Practice Address - Street 1:1216 N VICTOR II BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1382
Practice Address - Country:US
Practice Address - Phone:985-702-2229
Practice Address - Fax:985-384-0329
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-11
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.207245207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2112554Medicaid