Individual
SANDRA KAAZ WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1974 ORMOND BLVD, SUITE F, DESTREHAN, LA 70047-3819
(985) 764-2929
(985) 764-1929
Mailing address
PO BOX 729, DESTREHAN, LA 70047-0729
(985) 764-2929
(985) 764-1929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1080053T
LA
152W00000X
Optometrist
T02674
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1937606
—
LA
01
—
F4106
BCBS
LA
Enumeration date
01/12/2007
Last updated
07/08/2007
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