Organization
TRICIA H LEGE OD LLC
Active
Other names
Dr. Tricia H. Lege, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRICIA H LEGE O.D. (OWNER/DOCTOR)
(337) 740-2020
Entity
Organization
Contact information
Practice address
204 N SAINT CHARLES ST, ABBEVILLE, LA 70510-5106
(337) 740-2020
(337) 740-2022
Mailing address
204 N SAINT CHARLES ST, ABBEVILLE, LA 70510-5106
(337) 740-2020
(337) 740-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1261-415T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11349745
CAQH
LA
05
—
1544043
—
LA
Enumeration date
08/20/2014
Last updated
08/20/2014
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