Individual
DR. ANTHONY DIMAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2204 S 5TH ST, LEESVILLE, LA 71446-5318
(337) 238-9819
Mailing address
1299 HIGHWAY 3226, DERIDDER, LA 70634-9133
(337) 463-6169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1282-438T
LA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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