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Organization
DR. MICHAEL J. HAYNES A PROFESSIONAL CORPORATION
Active
Organization
DR. MICHAEL J. HAYNES A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J HAYNES OD (PRESIDENT)
(318) 323-4994
Entity
Organization
Contact information
Practice address
2808 FORSYTHE AVENUE, MONROE, LA 71201-3008
(318) 323-4994
(318) 388-6913
Mailing address
2808 FORSYTHE AVENUE, MONROE, LA 71201-3008
(318) 323-4994
(318) 388-6913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
891-26T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326879
—
LA
Enumeration date
04/10/2008
Last updated
10/31/2011
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