Loren Stueckle O.d.,p.s.

NPI 1053529867 - Clinic/Center - 261Q00000X

NPI Details
NPI 1053529867
Enumeration Date 05/18/2007
Last Updated 01/11/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LOREN G LOREN
Position OPTOMETRIST
Phone (509) 783-2555
Fax (509) 783-0830
Practice Location
1321 N COLUMBIA CENTER BLVD
SUITE 100
KENNEWICK WA, 99336-2184, US
Phone (509) 783-2555
Fax (509) 783-0830
Business Location
PO BOX 147
YAKIMA WA, 98907-0147, US
Phone (509) 952-4574
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Washington
License Number 1306
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According to our database, Loren Stueckle O.d.,p.s. NPI is 1053529867, taxonomy code is 261Q00000X and license number is 1306, license state is located at Washington. Loren Stueckle O.d.,p.s. physically located at 1321 N Columbia Center Blvd, Kennewick WA, 99336-2184. NPI Number 1033115704 has the healthcare provider type.

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1053529867 NPI number is provided on an as is basis without warranty of any kind. 1053529867 is maintained by the National Plan & Provider Enumeration System. The contents of Loren Stueckle O.d.,p.s. are for informational purposes only.