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Organization

DOROTHY K. ANDERSON, O.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOROTHY K. ANDERSON O.D. (O.D./OWNER)
(504) 348-2993
Entity
Organization

Contact information

Practice address
1670 BARATARIA BLVD STE D, MARRERO, LA 70072-4354
(504) 348-2993
(504) 340-4468
Mailing address
1670 BARATARIA BLVD STE D, MARRERO, LA 70072-4354
(504) 348-2993
(504) 340-4468

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
729-176T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1143456
LA
Enumeration date
07/24/2007
Last updated
04/28/2008
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