Individual
DR. RICHARD L. GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10900 HIGHWAY 3125, SUITE F, LUTCHER, LA 70071-5639
(225) 869-5043
(225) 869-8400
Mailing address
10900 HIGHWAY 3125, SUITE F, LUTCHER, LA 70071-5639
(225) 869-5043
(225) 869-8400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
976-139T
LA
152W00000X
Optometrist
LA. 976-139T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360163
—
LA
Enumeration date
01/23/2006
Last updated
07/21/2008
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