Individual
MR. RANDY PETER BOULIGNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 AVENUE F, BOGALUSA, LA 70427-3633
(504) 455-1816
(504) 887-7816
Mailing address
409 AVENUE F, BOGALUSA, LA 70427-3633
(985) 735-8137
(985) 732-4777
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
021802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1627593
—
LA
Enumeration date
07/06/2006
Last updated
03/28/2019
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