Erica Durlacher Od Llc | |
257 Lee Dr Ste Q, Baton Rouge, LA 70808-4977 | |
(225) 819-0120 | |
Not Available |
Full Name | Erica Durlacher Od Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 257 Lee Dr Ste Q, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255980348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Erica O Durlacher |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922459395 PECOS PAC ID: 0143508044 Enrollment ID: I20161027001887 |
Mailing Address | Practice Location Address |
---|---|
Erica Durlacher Od Llc 10197 Cal Rd, Baton Rouge, LA 70809-3257 Ph: (225) 933-5289 | Erica Durlacher Od Llc 257 Lee Dr Ste Q, Baton Rouge, LA 70808-4977 Ph: (225) 819-0120 |
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