| NPI Details | |
|---|---|
| NPI | 1063619666 |
| Enumeration Date | 06/28/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | PIERRE PIERRE |
| Position | OWNER PRESIDENT |
| Phone | (504) 834-1646 |
| Fax | (504) 834-2580 |
| Practice Location | |
|---|---|
| 313 COOLIDGE ST JEFFERSON LA, 70121-2418, US |
|
| Phone | (504) 834-1646 |
| Fax | (504) 834-2580 |
| Business Location | |
|---|---|
| 313 COOLIDGE ST JEFFERSON LA, 70121-2418, US |
|
| Phone | (504) 834-1646 |
| Fax | (504) 834-2580 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332H00000X |
| License State | |
| License Number | |
| Remove 1063619666 NPI Number | |
According to our database, Gulf States Optical Laboratories Inc NPI is 1063619666, taxonomy code is 332H00000X Gulf States Optical Laboratories Inc physically located at 313 Coolidge St, Jefferson LA, 70121-2418. NPI Number 1033115704 has the healthcare provider type.
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1063619666 NPI number is provided on an as is basis without warranty of any kind. 1063619666 is maintained by the National Plan & Provider Enumeration System. The contents of Gulf States Optical Laboratories Inc are for informational purposes only.
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