Jonathan Paul Judisch, OD

NPI #1285784280 in Lake City, Iowa

Provider Information

NPI Number: 1285784280
Entity Type: Individual
Name: Jonathan Paul Judisch, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 11, 2007
Last Updated: Jan 8, 2010

Practice Location

Address: 1341 W MAIN ST
City: Lake City
State: Iowa
ZIP Code: 51449-0124
Phone: (712) 464-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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