Organization
DR. MANUEL M. DE LA RUA, O.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH TRACEY DE LA RUA (OFFICE MANAGER)
(504) 443-9485
Entity
Organization
Contact information
Practice address
3701 WILLIAMS BLVD, SUITE 204, KENNER, LA 70065-3070
(504) 443-9485
(504) 443-5834
Mailing address
3701 WILLIAMS BLVD, SUITE 204, KENNER, LA 70065-3070
(504) 443-9485
(504) 443-5834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
992-202T
LA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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