Individual
DR. MELISSA ANNE DE LA O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2516 BROADMOOR BLVD # 1B, MONROE, LA 71201
(318) 812-1125
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8159
LA
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2478877
—
LA
Enumeration date
05/25/2018
Last updated
06/11/2019
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