Loren Stueckle O.d.,p.s.

NPI #1053529867 in Kennewick, Washington

Provider Information

NPI Number: 1053529867
Entity Type: Organization
Organization Name: Loren Stueckle O.d.,p.s.
Primary Specialty: Clinic/Center
Enumeration Date: May 18, 2007
Last Updated: Jan 11, 2008

Practice Location

Address: 1321 N COLUMBIA CENTER BLVD
Address 2: SUITE 100
City: Kennewick
State: Washington
ZIP Code: 99336-2184
Phone: (509) 783-2555

Authorized Official

Name: DR. LOREN G STUECKLE, O.D.
Title: OPTOMETRIST
Phone: (509) 952-4574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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