Individual
DR. PAUL ETIENNE PROUET JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 WILLIAMS BLVD, KENNER, LA 70062-7632
(504) 461-5500
Mailing address
5554 JACQUELYN CT, NEW ORLEANS, LA 70124-1047
(504) 782-2990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1274-431T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1560677
—
LA
Enumeration date
04/03/2006
Last updated
11/17/2023
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