Individual
DR. EDWARD LANGLOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 HEAVENS DR, SUITE 102, MANDEVILLE, LA 70471-2890
(985) 792-1141
Mailing address
79 TRACE LOOP, MANDEVILLE, LA 70448-7566
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
023141
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1491691
—
LA
Enumeration date
07/05/2005
Last updated
07/09/2007
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