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JOHN LAWRENCE OD

Individual Provider (NPI-1) Active

Optometrist

Provider Information

NPI Number
1609438423
Provider Type
Individual Provider (NPI-1)
Credentials
OD
Status
Active

Contact & Location

Address
3300 W PURDUE AVE, MUNCIE, IN, 473046355
Phone
(765) 288-1935

Specialties & Taxonomies

Optometrist License: IN #18004197B
Optometrist Primary License: IN #18004197A

All Addresses

MAILING

220 E OLDFIELD LN APT H

MUNCIE, IN, 473035928

LOCATION

3300 W PURDUE AVE

MUNCIE, IN, 473046355

(765) 288-1935