NPI | 1285947747 |
---|---|
Former Name | LAUREN ASHLEY KALUZNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4674) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007625) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2012-12-22 |