NPI | 1508922048 |
---|---|
Former Legal Business Name | DRS. LAUCK & CONWAY, PC |
Entity Type | Organization |
Authorized Contact | ANGELINE MCLEAN Owner 317-848-9081 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003121b) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2011-01-18 |