Laura Mae Young OD

NPI 1710968698 - Optometrist - 152W00000X

NPI Details
NPI 1710968698
Gender Female
Enumeration Date 11/08/2005
Last Updated 09/06/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1401 SYLVAN AVE
MODESTO CA, 95355-1367, US
Phone (209) 527-6640
Fax (209) 527-5489
Business Location
1401 SYLVAN AVE
MODESTO CA, 95355-1367, US
Phone (209) 527-6640
Fax (209) 527-5489
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 6585TPA
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According to our database, Mrs. Laura Mae Young OD NPI is 1710968698, taxonomy code is 152W00000X and license number is 6585TPA, license state is located at California. Laura Mae Young OD physically located at 1401 Sylvan Ave, Modesto CA, 95355-1367. NPI Number Laura Mae Young OD has the Individual type.

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1710968698 NPI number is provided on an as is basis without warranty of any kind. 1710968698 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Mae Young OD are for informational purposes only.