Laurie Lynn Collett OD

NPI 1093702300 - Optometrist - 152W00000X

NPI Details
NPI 1093702300
Gender Female
Enumeration Date 10/03/2005
Last Updated 04/25/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3406 VOLLMER RD
OLYMPIA FIELDS IL, 60461-1018, US
Phone (708) 748-6516
Fax (708) 748-6079
Business Location
3406 VOLLMER RD
OLYMPIA FIELDS IL, 60461-1018, US
Phone (708) 748-6516
Fax (708) 748-6079
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046008862
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According to our database, Dr. Laurie Lynn Collett OD NPI is 1093702300, taxonomy code is 152W00000X and license number is 046008862, license state is located at Illinois. Laurie Lynn Collett OD physically located at 3406 Vollmer Rd, Olympia Fields IL, 60461-1018. NPI Number Laurie Lynn Collett OD has the Individual type.

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1093702300 NPI number is provided on an as is basis without warranty of any kind. 1093702300 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Lynn Collett OD are for informational purposes only.