Lawrence Martin Gould SR. OPTICIAN

NPI 1770688939 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1770688939
Gender Male
Enumeration Date 09/13/2006
Last Updated 03/03/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2000 N FEDERAL HWY
POMPANO BEACH FL, 33062-1022, US
Phone (954) 942-7717
Fax (954) 942-2248
Business Location
2000 N FEDERAL HWY
POMPANO BEACH FL, 33062-1022, US
Phone (954) 574-0885
Fax
Toxanomy
Taxonomy Code 156FX1800X
License State Florida
License Number 1489
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According to our database, Mr. Lawrence Martin Gould SR. OPTICIAN NPI is 1770688939, taxonomy code is 156FX1800X and license number is 1489, license state is located at Florida. Lawrence Martin Gould SR. OPTICIAN physically located at 2000 N Federal Hwy, Pompano Beach FL, 33062-1022. NPI Number Lawrence Martin Gould SR. OPTICIAN has the Individual type.

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1770688939 NPI number is provided on an as is basis without warranty of any kind. 1770688939 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence Martin Gould SR. OPTICIAN are for informational purposes only.