GLENN COULLARD

ZACHARY, LA
NPI1346209236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: LA  683333T)
Enumeration Date2006-03-21
Last Update Date2012-08-07
Business Address
Dr. GLENN COULLARD O.D.
2421 CHURCH ST
ZACHARY, LA 70791-2710
Phone number: 225-654-1061
Mailing Address
Dr. GLENN COULLARD O.D.
2421 CHURCH ST
ZACHARY, LA 70791-2710
Phone number: 225-654-1061