Connie Lawrence-willis Od Pa

NPI 1073709283 - Optometrist - 152W00000X

NPI Details
NPI 1073709283
Enumeration Date 09/20/2007
Last Updated 11/01/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CONNIE CONNIE
Position PRESIDENT/OWNER
Phone (772) 589-7337
Fax (772) 589-9238
Practice Location
2001 US HIGHWAY 1
SEBASTIAN FL, 32958-1615, US
Phone (772) 589-7337
Fax (772) 589-9238
Business Location
13 SUNSET DR
SEBASTIAN FL, 32958-3508, US
Phone (772) 589-7337
Fax (772) 589-9238
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC3016
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According to our database, Connie Lawrence-willis Od Pa NPI is 1073709283, taxonomy code is 152W00000X and license number is OPC3016, license state is located at Florida. Connie Lawrence-willis Od Pa physically located at 2001 Us Highway 1, Sebastian FL, 32958-1615. NPI Number 1033115704 has the healthcare provider type.

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1073709283 NPI number is provided on an as is basis without warranty of any kind. 1073709283 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Lawrence-willis Od Pa are for informational purposes only.