Individual
DR. LESLIE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
925 E JUDGE PEREZ DR STE 1, CHALMETTE, LA 70043-5376
(504) 345-2540
(844) 361-4912
Mailing address
8101 W JUDGE PEREZ DR, CHALMETTE, LA 70043-1661
(504) 206-3314
(504) 278-2277
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1791-725AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659780203
NPI 2
LA
05
—
2412191
—
LA
Enumeration date
08/07/2014
Last updated
04/25/2024
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