| NPI | 1619941168 |
|---|---|
| Doing Business As | LAVON DRAKE OCULARIST |
| Entity Type | Organization |
| Authorized Contact | LAVON H DRAKE President Owner 252-531-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-08-22 |