Individual
LOUISE ANNE MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MD
Contact information
Practice address
2634 HARRISON AVE, EUREKA, CA 95501-3223
(707) 442-8911
(707) 445-2023
Mailing address
2634 HARRISON AVE, EUREKA, CA 95501-3223
(707) 442-8911
(707) 445-2023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G56405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G564050
—
CA
01
—
180004274
RR MEDICARE
CA
Enumeration date
07/19/2005
Last updated
10/09/2012
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