Individual
LILLIAN FORSTALL BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3857 LA 1 HWY S, SUITE E, PORT ALLEN, LA 70767
(225) 422-1669
(225) 351-8821
Mailing address
3857 LA-1 HWY S, SUITE E, PORT ALLEN, LA 70767
(225) 422-1669
(225) 351-8821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1880-815AT
LA
Other
Enumeration date
08/07/2018
Last updated
05/23/2025
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