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General NPI Number Information
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NPI Number | 1932242898
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Entity Type | Organization
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Legal Business Name | LAFLEUR EYE CLINIC LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 905 E 7TH AVE SUITE 2
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City | OAKDALE
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State | LA
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Zip | 71463-2797
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Country | US
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Telephone | 337-281-8226
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | VILLE PLATTE
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State | LA
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Zip | 70586-0027
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AGENT OPTOMETRIST
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Name | DR. DONAVON NEIL LAFLEUR
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Credential | O.D.
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Telephone | 337-281-8226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1429-558T
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License Number State | LA
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