Individual
DR. TAYLOR SUZANNA NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 836-9820
Mailing address
1610 DUNLANEY WAY, BOWLING GREEN, KY 42103-1360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1874-809AT
LA
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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