Individual
DR. CLIFTON M. COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1100 N. 5TH ST., LEESVILLE, LA 71446-3464
(337) 239-2020
(337) 239-0755
Mailing address
PO BOX 681, LEESVILLE, LA 71496-0681
(337) 239-2020
(337) 239-0755
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
953-128T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342262
—
LA
Enumeration date
08/26/2005
Last updated
10/20/2008
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