Individual
EVA M. LAMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1004 W HIGHWAY 30, SUITE A, GONZALES, LA 70737-5001
(225) 644-4444
Mailing address
1004 W HIGHWAY 30, SUITE A, GONZALES, LA 70737-5001
(225) 644-4444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1410-546T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007786
—
LA
Enumeration date
11/03/2006
Last updated
03/03/2008
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