Individual
ROBERT LUCAS PATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 4000, BATON ROUGE, LA 70808-4300
(225) 766-7441
(225) 769-6343
Mailing address
7777 HENNESSY BLVD, SUITE 4000, BATON ROUGE, LA 70808-4300
(225) 766-7441
(225) 769-6343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1594-627T
LA
152WC0802X
Corneal and Contact Management Optometrist
1594-627T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126741
—
LA
01
—
4R172
MEDICARE
LA
Enumeration date
08/05/2010
Last updated
01/05/2012
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