DR. Lara Ann Eenigenburg, O.D.

NPI #1013915859 in Fremont, Michigan

Provider Information

NPI Number: 1013915859
Entity Type: Individual
Name: DR. Lara Ann Eenigenburg, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 13, 2005
Last Updated: May 21, 2008

Practice Location

Address: 103 S DIVISION AVE
Address 2: PO BOX E
City: Fremont
State: Michigan
ZIP Code: 49412-1602
Phone: (231) 924-4110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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