Individual
CRYSTAL M GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5725 JOHNSTON ST STE 2314, LAFAYETTE, LA 70503-5315
(337) 984-2140
(337) 984-2416
Mailing address
5725 JOHNSTON ST STE 2314, LAFAYETTE, LA 70503-5315
(337) 984-2140
(337) 984-2416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1618-651T
LA
Other
Enumeration date
07/25/2011
Last updated
07/06/2016
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