Individual
TRACY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14790 WAX RD STE 107, BATON ROUGE, LA 70818-4288
(225) 301-0727
Mailing address
14790 WAX RD STE 107, BATON ROUGE, LA 70818-4288
(225) 301-0727
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
02/25/2021
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