Individual
DR. STEPHEN EUGENE WARREN IX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
305 ALABAMA AVE, BOGALUSA, LA 70427-3805
(985) 732-5181
Mailing address
305 ALABAMA AVE, BOGALUSA, LA 70427-3805
(985) 732-5181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
756-192T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1139050
—
LA
Enumeration date
09/23/2006
Last updated
07/08/2007
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