DR. Lauren Rebecca Tackett, O.D.

NPI #1164618682 in Atascadero, California

Provider Information

NPI Number: 1164618682
Entity Type: Individual
Name: DR. Lauren Rebecca Tackett, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 18, 2007
Last Updated: Sep 19, 2012

Practice Location

Address: 7605 MORRO RD
City: Atascadero
State: California
ZIP Code: 93422-4433
Phone: (805) 466-3777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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