Individual
DR. HANNAH EASTMAN FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
339 W PRIEN LAKE RD, SUITE 200B, LAKE CHARLES, LA 70601-8452
(337) 366-0905
(337) 474-1409
Mailing address
22141 ELTON DR, JENNINGS, LA 70546-8542
(337) 329-2468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1649-683T
LA
Other
Enumeration date
07/30/2013
Last updated
08/27/2019
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