Individual
DR. SCOTTY LLOYD HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1208 N 18TH ST, MONROE, LA 71201-5430
(318) 322-2020
(318) 387-4242
Mailing address
1208 N 18TH ST, MONROE, LA 71201-5430
(318) 322-2020
(318) 387-4242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1183-341T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126551
—
LA
Enumeration date
04/23/2007
Last updated
07/08/2007
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