Provider Demographics
NPI:1992167159
Name:BABB, DANIELLE ELISE (DO)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ELISE
Last Name:BABB
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 GIRARD PARK DR APT 1
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2357
Mailing Address - Country:US
Mailing Address - Phone:239-464-5488
Mailing Address - Fax:
Practice Address - Street 1:111 GIRARD PARK DR APT 1
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2357
Practice Address - Country:US
Practice Address - Phone:239-464-5488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA333710207LP2900X
MO2023034682207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine