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Individual
JAMES LAMAR
Active
Individual
JAMES LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1787-721T
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05239381
—
MS
05
—
2374737
—
LA
Enumeration date
06/19/2014
Last updated
12/15/2014
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