DR. ELIZABETH BERTUCCI ROBERTSON (NPI# 1467695247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467695247 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH BERTUCCI ROBERTSON |
| Other Name | DR. ELIZABETH BRANDON BERTUCCI |
| Credential | M.D. |
| Practice Address |
200 Petroleum Dr Lafayette Lafayette LA 70508-3880 |
| Practice Telephone | 3379889999 |
| Practice Fax Number | 3379847003 |
| Mailing Telephone | 3379889999 |
| Mailing Fax Number | 3379847003 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD.205346 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253562 | Elizabeth Robertson | Social Worker | 621 Nw 21st St, Oklahoma City, OK 73103-1809 | 2009-05-28 |
| 1538319868 | Elizabeth Robertson | Physical Therapist | 547 E Portland Ave, Fresno, CA 93720-2115 | 2008-09-23 |
| 1164949939 | Elizabeth Brooks Matthews Robertson | Pharmacist | 115 Alabama St, Columbus, MS 39702-5220 | 2017-08-23 |
| 1154783918 | Elizabeth Robertson | Pediatrics | 4320 Diplomacy Dr, Anchorage, AK 99508 | 2016-03-22 |
| 1639552730 | Elizabeth Helena Robertson | Dental Hygienist | 210 San Mateo Rd, 104, Half Moon Bay, CA 94019-7111 | 2015-07-07 |
| 1598002644 | Elizabeth Ristine Robertson | Massage Therapist | 1016 Se 12th Ave, Portland, OR 97214-2513 | 2013-01-09 |
| 1316295108 | Elizabeth M Robertson | Counselor | 900 7th St, Clarkston, WA 99403-2005 | 2012-08-27 |
| 1326208026 | Elizabeth Jennifer Robertson | Technician/Technologist | 1295 Portland Ave, Suite 1, Rochester, NY 14621-2731 | 2008-06-16 |
| 1154447944 | Elizabeth A Robertson | Pharmacist | 142 Main St, Salem, NH 03079-3106 | 2007-03-22 |
| 1891821047 | Elizabeth A Robertson | Marriage & Family Therapist | 22455 Maple Ct, Suite 402, Hayward, CA 94541-4020 | 2007-02-24 |
| Street Address |
200 PETROLEUM DR LAFAYETTE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-3880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356873095 | Kaylee Mahoney | Nurse Practitioner | 200 Petroleum Dr, Lafayette, LA 70508-3880 | 2017-03-31 |
| 1649697558 | Robin Beacom | Nurse Practitioner | 200 Petroleum Dr, Lafayette, LA 70508-3880 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457680332 | Wilton Lee Bergeron | Allergy & Immunology | 1505 Westgate Rd, Lafayette, LA 70506-2742 | 2009-12-23 |
| 1124297627 | Erin Trahan Pratt | Allergy & Immunology | 101 Rue Fontaine Bldg 2, Lafayette, LA 70508-5744 | 2008-02-28 |
| 1346251865 | Powlin Viswas Manuel | Allergy & Immunology | 104 Genevieve Dr, Lafayette, LA 70503-4811 | 2006-08-10 |
| 1225034812 | Bernard C Fruge Jr. | Allergy & Immunology | 320 Settlers Trace Blvd, Lafayette, LA 70508 | 2005-06-28 |
| 1932424660 | Andrew Daniel Collins | Allergy & Immunology | 320 Settlers Trace Blvd, Lafayette, LA 70508-6060 | 2010-04-06 |
| 1891920708 | St Roy Family Care LLC | Allergy & Immunology | 1002 12th St, Lafayette, LA 70501-6224 | 2009-05-20 |
| 1386771392 | Jatinder S Aulakh | Allergy & Immunology | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-02-27 |
| 1134268535 | Marcia E Goss | Allergy & Immunology | 280 Exempla Cir, Allergy Department, Lafayette, CO 80026-3370 | 2007-02-05 |
| 1679620603 | Manuel Medical Clinic, Inc. | Allergy & Immunology | 104 Genevieve Dr, Lafayette, LA 70503-4811 | 2007-01-04 |
| 1730114349 | Namrata Singhal | Allergy & Immunology | 1500 Salem St, Lafayette, IN 47904-2164 | 2006-07-11 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DR. ELIZABETH BERTUCCI ROBERTSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.