Individual
MRS. ALICIA PRICE CROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2536 AIRLINE DRIVE, BOSSIER CITY, LA 71111
(318) 742-9690
(318) 747-9492
Mailing address
461 LINTON RD, BENTON, LA 71006
(318) 623-1664
(318) 550-3432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1558590T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1368971
—
LA
01
—
1558590T
LICENSE
LA
Enumeration date
07/28/2008
Last updated
07/19/2024
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