LAWRENCE ALLEN HICKS

LA PORTE, IN
NPI1356433742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18001631A)
Enumeration Date2006-09-29
Last Update Date2007-09-28
Business Address
Dr. LAWRENCE ALLEN HICKS O.D.
47 PINE LAKE AVE
LA PORTE, IN 46350-3027
Phone number: 219-325-0404
Mailing Address
Dr. LAWRENCE ALLEN HICKS O.D.
84 S 362 W
VALPARAISO, IN 46385-9108
Phone number: 219-462-2744
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