Larry L Davis Od Ltd

NPI 1063607885 - Optometrist - 152W00000X

NPI Details
NPI 1063607885
Enumeration Date 09/14/2007
Last Updated 04/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LARRY L LARRY
Position OWNER/ PRESIDENT
Phone (702) 878-8007
Fax (702) 878-4103
Practice Location
6707 W CHARLESTON BLVD
SUITE 1B
LAS VEGAS NV, 89146-9240, US
Phone (702) 878-8007
Fax (702) 878-4103
Business Location
6707 W CHARLESTON BLVD
SUITE 1B
LAS VEGAS NV, 89146-9240, US
Phone (702) 878-8007
Fax (702) 878-4103
Toxanomy
Taxonomy Code 152W00000X
License State Nevada
License Number 203
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According to our database, Larry L Davis Od Ltd NPI is 1063607885, taxonomy code is 152W00000X and license number is 203, license state is located at Nevada. Larry L Davis Od Ltd physically located at 6707 W Charleston Blvd, Las Vegas NV, 89146-9240. NPI Number 1033115704 has the healthcare provider type.

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1063607885 NPI number is provided on an as is basis without warranty of any kind. 1063607885 is maintained by the National Plan & Provider Enumeration System. The contents of Larry L Davis Od Ltd are for informational purposes only.