Scott Lawrence Stanley O.D.

NPI 1023009610 - Optometrist - 152W00000X

NPI Details
NPI 1023009610
Gender Male
Enumeration Date 11/02/2005
Last Updated 05/31/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
371 NE GARDEN VALLEY BLVD
ROSEBURG OR, 97470-2039, US
Phone (541) 673-4166
Fax
Business Location
371 NE GARDEN VALLEY BLVD
ROSEBURG OR, 97470-2039, US
Phone (541) 673-4166
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Washington
License Number OD3772
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According to our database, Dr. Scott Lawrence Stanley O.D. NPI is 1023009610, taxonomy code is 152W00000X and license number is OD3772, license state is located at Washington. Scott Lawrence Stanley O.D. physically located at 371 Ne Garden Valley Blvd, Roseburg OR, 97470-2039. NPI Number Scott Lawrence Stanley O.D. has the Individual type.

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1023009610 NPI number is provided on an as is basis without warranty of any kind. 1023009610 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Lawrence Stanley O.D. are for informational purposes only.