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Organization

LEE H. CRADDOCK O.D. APOC

Active
Parent organization
LEE H CRADDOCK O.D. APOC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEE H CRADDOCK O.D. APOC
Authorized official
LEE CRADDOCK (OPTOMETRIST)
(985) 395-7219
Entity
Organization

Contact information

Practice address
973 HIGHWAY 90 E, MORGAN CITY, LA 70380-5156
(985) 395-7219
Mailing address
973 HIGHWAY 90 E, MORGAN CITY, LA 70380-5156

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1208-368T
LA

Other

Enumeration date
01/24/2012
Last updated
02/28/2012
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