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Organization
FALGOUST EYE MEDICAL AND SURGICAL
Active
Organization
FALGOUST EYE MEDICAL AND SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M FALGOUST (DIRECTOR OF OPERATIONS)
(337) 477-0963
Entity
Organization
Contact information
Practice address
1980 TYBEE LANE, LAKE CHARLES, LA 70605-2400
(337) 477-0963
(337) 477-1912
Mailing address
PO BOX 4765, LAKE CHARLES, LA 70606-4765
(337) 477-0963
(337) 477-1912
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD12137R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1695807
—
LA
01
—
435194099B
BCBS
LA
Enumeration date
07/31/2006
Last updated
09/02/2011
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