DR. Richard L. Granger, O.D.

NPI #1720058878 in Lutcher, Louisiana

Provider Information

NPI Number: 1720058878
Entity Type: Individual
Name: DR. Richard L. Granger, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 23, 2006
Last Updated: Jul 21, 2008

Practice Location

Address: 10900 HIGHWAY 3125
Address 2: SUITE F
City: Lutcher
State: Louisiana
ZIP Code: 70071-5639
Phone: (225) 869-5043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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