Provider Demographics
NPI:1619127552
Name:TRENGOVE, ELIZABETH MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:TRENGOVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:320 WHITTINGTON PKWY, SUITE 301
Mailing Address - Street 2:ONEANESTHESIA, PLLC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4928
Mailing Address - Country:US
Mailing Address - Phone:502-625-5584
Mailing Address - Fax:502-426-2264
Practice Address - Street 1:1220 MISSOURI AVE
Practice Address - Street 2:SUITE 2547
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3725
Practice Address - Country:US
Practice Address - Phone:812-283-2183
Practice Address - Fax:812-283-2236
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2016-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL125048104207L00000X
IN01066684A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology