DR. SUPATRA LAKSANASUT, O.D.

Optometrist

Active Individual
NPI: 1568656056

Practice Address

1130 HIGHWAY 77
Bridgeton, NJ 08302

Phone: (856) 453-0418

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 27OA00610200 (NJ)

Frequently Asked Questions

NPI 1568656056 is the National Provider Identifier for DR. SUPATRA LAKSANASUT, O.D., a Optometrist provider located in Bridgeton, NJ. This NPI was enumerated on August 28, 2007.
DR. SUPATRA LAKSANASUT, O.D. practices at 1130 HIGHWAY 77, Bridgeton, NJ 08302.

Quick Facts

NPI
1568656056
Type
Individual
Enumerated
Aug 28, 2007
Last Updated
Aug 28, 2007

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