Ladd F. Koresch O.d., S.c.
NPI #1104029867 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1104029867
- Entity Type
- Organization
- Organization Name
- Ladd F. Koresch O.d., S.c.
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 8, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 415 BROAD ST
- Address 2
- SUITE 101
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-1800
- Phone
- (262) 248-4878
Authorized Official
- Name
- DR. LADD F. KORESCH, O.D.
- Title
- OPTOMETRIST
- Phone
- (262) 248-4878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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