NPI | 1750320826 |
---|---|
Former Name | JAMIE N LAWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009495) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3027) |
152W00000X Optometrist (Licence: FL OPC3899) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2017-04-11 |