Individual
DR. ELIZABETH MARTIN GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5233 MAIN ST, SUITE A, ZACHARY, LA 70791-3978
(225) 654-0090
(225) 654-8044
Mailing address
5233 MAIN ST, SUITE A, ZACHARY, LA 70791-3978
(225) 654-0090
(225) 654-8044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
975-141T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358908
—
LA
Enumeration date
03/14/2006
Last updated
01/13/2009
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