DR. Lynnette Raye Blostica, O.D.

NPI #1053524884 in Portage, Michigan

Provider Information

NPI Number: 1053524884
Entity Type: Individual
Name: DR. Lynnette Raye Blostica, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 8, 2007
Last Updated: Nov 17, 2022

Practice Location

Address: 3412 W CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49024-4624
Phone: (269) 329-5860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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