Individual
DR. ANDRE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3636 MONROE HWY, PINEVILLE, LA 71360-4127
(318) 640-8803
(318) 640-8836
Mailing address
3636 MONROE HWY, PINEVILLE, LA 71360-4127
(318) 640-8803
(318) 640-8836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
961-193T
LA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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