Laura Jill Longnecker

NPI #1023395225 in Jerseyville, Illinois

Provider Information

NPI Number
1023395225
Entity Type
Individual
Name
Laura Jill Longnecker
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Enumeration Date
Nov 16, 2011
Last Updated
Nov 16, 2011

Practice Location

Address
1316 S STATE ST
ZIP Code
62052-3617
Phone
(618) 498-7244

Specialties & Taxonomy Codes

Specialty
Optometrist

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