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1750489001
LORRY WAYNE LAZENBY
JOPLIN, MO
NPI
1750489001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MO TO2703)
Enumeration Date
2006-09-20
Last Update Date
2018-10-02
Business Address
Dr. LORRY WAYNE LAZENBY O.D.
2318 E 32ND ST STE A
JOPLIN, MO 64804-4326
Phone number: 417-206-0399
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Mailing Address
Dr. LORRY WAYNE LAZENBY O.D.
2318 E 32ND ST STE A
JOPLIN, MO 64804-4326
Phone number: 417-206-0399
Copy
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