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Individual

DR. DANIEL L HEITMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1800 MACARTHUR DR, SUITE E, ALEXANDRIA, LA 71301-3768
(318) 442-8393
Mailing address
1800 MACARTHUR DR, SUITE E, ALEXANDRIA, LA 71301-3768
(318) 442-8393

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1222383T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1693286
LA
Enumeration date
04/19/2007
Last updated
07/08/2007
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