Provider Demographics
NPI:1942205786
Name:BORNE, CLAIRE LUCY (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:LUCY
Last Name:BORNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 CONNELLS PARK LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6539
Mailing Address - Country:US
Mailing Address - Phone:225-924-2020
Mailing Address - Fax:225-925-0225
Practice Address - Street 1:550 CONNELLS PARK LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6539
Practice Address - Country:US
Practice Address - Phone:225-924-2020
Practice Address - Fax:225-925-0225
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014710207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1321681Medicaid
LA5J296Medicare ID - Type Unspecified
LAD83909Medicare UPIN