Individual
LAUREN AGNEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3601 HIGHWAY 190 STE B, MANDEVILLE, LA 70471-8632
(985) 624-3314
Mailing address
170 COUNTRY CLUB DR, COVINGTON, LA 70433-4814
(985) 720-7120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1896-832AT
LA
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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