Individual
DR. DONALD J. COSTELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4338
(504) 371-9355
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MD1219-382T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545805
—
LA
Enumeration date
04/26/2006
Last updated
07/08/2007
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