Lara Ann Eenigenburg O.D.

NPI 1013915859 - Optometrist - 152W00000X

NPI Details
NPI 1013915859
Gender Female
Enumeration Date 07/13/2005
Last Updated 05/21/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
103 S DIVISION AVE
PO BOX E
FREMONT MI, 49412-1602, US
Phone (231) 924-4110
Fax (231) 924-5007
Business Location
103 S DIVISION AVE
PO BOX E
FREMONT MI, 49412-1602, US
Phone (231) 924-4110
Fax (231) 924-5007
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901004195
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According to our database, Dr. Lara Ann Eenigenburg O.D. NPI is 1013915859, taxonomy code is 152W00000X and license number is 4901004195, license state is located at Michigan. Lara Ann Eenigenburg O.D. physically located at 103 S Division Ave, Fremont MI, 49412-1602. NPI Number Lara Ann Eenigenburg O.D. has the Individual type.

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1013915859 NPI number is provided on an as is basis without warranty of any kind. 1013915859 is maintained by the National Plan & Provider Enumeration System. The contents of Lara Ann Eenigenburg O.D. are for informational purposes only.