Dr. Manuel M. De La Rua, O.d., L.l.c.

NPI 1194140475 - Optometrist - 152W00000X

NPI Details
NPI 1194140475
Enumeration Date 02/24/2014
Last Updated 02/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DEBORAH TRACEY DEBORAH
Position OFFICE MANAGER
Phone (504) 443-9485
Fax (504) 443-5834
Practice Location
3701 WILLIAMS BLVD
SUITE 204
KENNER LA, 70065-3070, US
Phone (504) 443-9485
Fax (504) 443-5834
Business Location
3701 WILLIAMS BLVD
SUITE 204
KENNER LA, 70065-3070, US
Phone (504) 443-9485
Fax (504) 443-5834
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 992-202T
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According to our database, Dr. Manuel M. De La Rua, O.d., L.l.c. NPI is 1194140475, taxonomy code is 152W00000X and license number is 992-202T, license state is located at Louisiana. Dr. Manuel M. De La Rua, O.d., L.l.c. physically located at 3701 Williams Blvd, Kenner LA, 70065-3070. NPI Number 1033115704 has the healthcare provider type.

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1194140475 NPI number is provided on an as is basis without warranty of any kind. 1194140475 is maintained by the National Plan & Provider Enumeration System. The contents of Dr. Manuel M. De La Rua, O.d., L.l.c. are for informational purposes only.