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Individual
DR. TRICIA H. LEGE
Active
Individual
DR. TRICIA H. LEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1261-415T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11349745
CAQH
LA
05
—
1544043
—
LA
Enumeration date
10/06/2006
Last updated
08/13/2014
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