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Contact Information

ELIZABETH A CORBELLO, PA
1301 CAMELLIA BLVD
SUITE 102
LAFAYETTE, LA70508-7089
 Phone: 337-233-3201
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELIZABETH A CORBELLO · (Female)

NPI Number 1649468224
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/09/2007
Last updated 01/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.INTE.PERMIT
  • LA Medicaid 2113925
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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