Connie Lawrence-Willis Od PA

NPI #1073709283 in Sebastian, Florida

Provider Information

NPI Number: 1073709283
Entity Type: Organization
Organization Name: Connie Lawrence-Willis Od PA
Primary Specialty: Optometrist
Enumeration Date: Sep 20, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 2001 US HIGHWAY 1
City: Sebastian
State: Florida
ZIP Code: 32958-1615
Phone: (772) 589-7337

Authorized Official

Name: DR. CONNIE LAWRENCE-WILLIS, O.D.
Title: PRESIDENT/OWNER
Phone: (772) 589-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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