Lawrence A Shinneman, O.D.

NPI #1306813464 in South Bend, Indiana

Provider Information

NPI Number: 1306813464
Entity Type: Individual
Name: Lawrence A Shinneman, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 7, 2006
Last Updated: Apr 3, 2012

Practice Location

Address: 4121 S. MICHIGAN STREET
City: South Bend
State: Indiana
ZIP Code: 46614-2545
Phone: (574) 291-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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