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Organization
LAUREN AGNEW LLC
Active
Organization
LAUREN AGNEW LLC
Active
Other names
Eye Wares
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN AGNEW OD (OWNER)
(985) 624-3314
Entity
Organization
Contact information
Practice address
3601 HIGHWAY 190 STE B, MANDEVILLE, LA 70471-8632
(985) 624-3314
(985) 624-3601
Mailing address
3601 HIGHWAY 190 STE B, MANDEVILLE, LA 70471-8632
(985) 624-3314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2521918
—
LA
Enumeration date
05/31/2021
Last updated
05/31/2021
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