Individual
DR. CLIFTON O ISTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
350 LAKEVIEW CT, SUITE A, COVINGTON, LA 70433-7514
(985) 845-3509
(985) 867-5498
Mailing address
350 LAKEVIEW CT, SUITE A, COVINGTON, LA 70433-7514
(985) 845-3509
(985) 867-5498
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1680176
—
LA
Enumeration date
09/07/2006
Last updated
04/08/2013
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