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Organization
MELINDA LEGG OD A PROFESSIONAL OPTOMETRY CORPORATION
Active
Organization
MELINDA LEGG OD A PROFESSIONAL OPTOMETRY CORPORATION
Active
Other names
Melinda Legg OD A Professional Optometry Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELINDA SUE LEGG OD (OPTOMETRIST/OWNER)
(318) 387-7257
Entity
Organization
Contact information
Practice address
303 MCMILLAN RD, WEST MONROE, LA 71291-8316
(318) 387-7257
Mailing address
303 MCMILLAN RD, WEST MONROE, LA 71291-8316
(318) 387-7257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1557-589T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2315048
—
LA
Enumeration date
09/17/2012
Last updated
01/08/2014
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