John Laczkowski, OD

NPI #1053476085 in West Allis, Wisconsin

Provider Information

NPI Number: 1053476085
Entity Type: Individual
Name: John Laczkowski, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 2761 S 108TH ST
City: West Allis
State: Wisconsin
ZIP Code: 53227-3232
Phone: (414) 321-2425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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