Individual
RAEGHAN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
Mailing address
1747 STUART AVE, BATON ROUGE, LA 70808-3779
(504) 275-7170
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2033-979AT
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
07/29/2024
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