L.d Peck,pc

NPI 1215008164 - Optometrist - 152W00000X

NPI Details
NPI 1215008164
Enumeration Date 11/13/2006
Last Updated 12/12/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARRY D LARRY
Position PRESIDENT
Phone (319) 524-3651
Fax (319) 524-6118
Practice Location
1813 MAIN ST
KEOKUK IA, 52632-3326, US
Phone (319) 524-3651
Fax (319) 524-6118
Business Location
1813 MAIN ST
KEOKUK IA, 52632-3326, US
Phone (319) 524-3651
Fax (319) 524-6118
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 1719
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According to our database, L.d Peck,pc NPI is 1215008164, taxonomy code is 152W00000X and license number is 1719, license state is located at Iowa. L.d Peck,pc physically located at 1813 Main St, Keokuk IA, 52632-3326. NPI Number 1033115704 has the healthcare provider type.

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1215008164 NPI number is provided on an as is basis without warranty of any kind. 1215008164 is maintained by the National Plan & Provider Enumeration System. The contents of L.d Peck,pc are for informational purposes only.