Individual
BICHNGOC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
550 CONNELL PARK LN, BATON ROUGE, LA 70806-6539
(225) 924-2020
(225) 924-2809
Mailing address
550 CONNELL PARK LN, BATON ROUGE, LA 70806-6539
(225) 924-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1861-795AT
LA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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