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NPI Code Detail

MEDICARE: DR. ELIZABETH H. GUERRERO D.D.S.

MEDICARE: DR. ELIZABETH H. GUERRERO D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist5108LA
21223G0001XGeneral Practice Dentistry5108LA

General Provider Information

NPI Number : 1023480910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH H. GUERRERO D.D.S.
Provider Business Mailing Address
First Line : 11331 OLD HAMMOND HIGHWAY
Second Line : SUITE A
City : BATON ROUGE
State : LA
Zip : 70816
Country : US
Telephone Number : 225-275-0666
Fax Number : 225-275-0647
Provider Business Practice Location Address
First Line : 203 ALLENDALE DR
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-3219
Country : US
Telephone Number : 225-389-1311
Fax Number : 225-389-1330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2015
Last Update Date : 03/04/2025

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