Provider Demographics
NPI:1003108150
Name:ORR, ELIZABETH MAUREEN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MAUREEN
Last Name:ORR
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 1:150 S INGLESIDE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-1804
Mailing Address - Country:US
Mailing Address - Phone:251-928-0624
Mailing Address - Fax:251-928-0655
Practice Address - Street 1:150 S INGLESIDE ST STE 7
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-1804
Practice Address - Country:US
Practice Address - Phone:251-928-0624
Practice Address - Fax:251-928-0655
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33393208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty