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Organization
LAKEVIEW VISION SOURCE, LLC
Active
Organization
LAKEVIEW VISION SOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK JOACHIM SONGY OD (OPTOMETRIST)
(504) 273-9805
Entity
Organization
Contact information
Practice address
222 HARRISON AVENUE, NEW ORLEANS, LA 70124
(504) 273-9805
Mailing address
222 HARRISON AVENUE, NEW ORLEANS, LA 70124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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