Individual
DR. MADELINE MAXINE BORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4200 CANAL ST, SUITE D, NEW ORLEANS, LA 70119-5984
(504) 451-8673
Mailing address
4200 CANAL ST, SUITE D, NEW ORLEANS, LA 70119-5984
(504) 451-8673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1007-345T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363863
—
LA
Enumeration date
11/14/2006
Last updated
08/31/2009
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