Individual
DR. ELMO CLYDE DEAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4747 ONEAL LN, STE. A, BATON ROUGE, LA 70817-1638
(225) 755-0988
(225) 755-3235
Mailing address
4747 ONEAL LN, STE. A, BATON ROUGE, LA 70817-1638
(225) 755-0988
(225) 755-3235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
843-071T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317918
—
LA
Enumeration date
08/19/2005
Last updated
01/10/2011
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