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Individual
DR. MICHAEL DAVID PICKERING
Active
Individual
DR. MICHAEL DAVID PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
963-247T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1362549
—
LA
01
—
2504B
BCBS
LA
Enumeration date
09/14/2006
Last updated
12/05/2013
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