| NPI | 1386215440 |
|---|---|
| Doing Business As | LAKELAND VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL H CHOW Owner 253-351-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-02-10 |