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Individual

MEAGAN RENEE FAZZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
7024 SIEGEN LN, BATON ROUGE, LA 70809-4531
(225) 291-9100
Mailing address
10302 ALEX REINE RD, SAINT AMANT, LA 70774-4428

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1913-849AT
LA

Other

Enumeration date
10/29/2019
Last updated
10/12/2020
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