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Organization

MENARD EYE CENTER, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH MICHEAL MENARD O.D. (OWNER/MANAGER/OPTOMETRIST)
(337) 842-8344
Entity
Organization

Contact information

Practice address
4448 LAKE ST, LAKE CHARLES, LA 70605-4312
(337) 842-8344
(337) 439-0185
Mailing address
4448 LAKE ST, LAKE CHARLES, LA 70605-4312
(337) 842-8344
(337) 439-0185

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1369-514T
LA

Other

Enumeration date
03/10/2010
Last updated
03/10/2010
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