Azar, Susan Elizabeth

Azar, Susan Elizabeth is an individual health care provider with primary practice located at 514-516 St Landry Street , Lafayette LA 70506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Azar, Susan Elizabeth can be contacted via phone (337) 235-7791.

Contact Information

Primary practice address
514-516 St Landry Street Lafayette LA 70506
Fax: (337) 234-8230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 025603 Louisiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Q2731 Texas

Profile Details

NPI number 1245222439
LBN Legal business name Azar, Susan Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245222439 NPPES
Louisiana MEDICAID 1044962
Louisiana Other 4J779B107

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