NPI | 1003880212 |
---|---|
Former Name | LAURA LEA WARREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: KY 1397DT) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2010-10-20 |