Individual
LAWRENCE TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4500 JOHNSTON ST, LAFAYETTE, LA 70503-4236
(318) 442-7711
Mailing address
4500 JOHNSTON ST, LAFAYETTE, LA 70503-4236
(318) 442-7711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1793-727AT
LA
Other
Enumeration date
07/31/2015
Last updated
09/08/2021
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