Individual
DR. EDWARD G GILCREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 S VIENNA ST, RUSTON, LA 71270-5832
(318) 255-9433
(318) 255-2425
Mailing address
1110 N 7TH ST, WEST MONROE, LA 71291-4334
(318) 330-9070
(318) 387-4343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1398-528T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475815
—
LA
Enumeration date
02/21/2007
Last updated
06/27/2013
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