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Organization

BROUSSARD CATARACT & EYE INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANICA G NELSON (BUSINESS MANAGER)
(318) 387-2015
Entity
Organization

Contact information

Practice address
1250 PECANLAND RD, SUITE E-1, MONROE, LA 71203-7011
(318) 387-2015
(318) 387-2097
Mailing address
1250 PECANLAND RD, SUITE E-1, MONROE, LA 71203-7011
(318) 387-2015
(318) 387-2097

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L014616
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1324159
LA
01
5286830001
DMERC
LA
Enumeration date
07/05/2006
Last updated
04/30/2008
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