Individual
DR. PHILIP A. LAHAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7020 YOUREE DR STE A, SHREVEPORT, LA 71105-5109
(318) 524-1400
(318) 524-1900
Mailing address
7400 YOUREE DR, SHREVEPORT, LA 71105-5536
(318) 524-1400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
865-082T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303698
—
LA
Enumeration date
10/03/2006
Last updated
11/29/2007
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