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1437717329
BENJAMIN LAWLESS
JACKSON, MI
NPI
1437717329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005242)
Enumeration Date
2019-06-05
Last Update Date
2021-04-09
Business Address
BENJAMIN LAWLESS OD
1617 N WEST AVE
JACKSON, MI 49202-2030
Phone number: 517-780-3828
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Mailing Address
BENJAMIN LAWLESS OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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