Lawrence J Waite

NPI #1336323195 in Elmira, New York

Provider Information

NPI Number: 1336323195
Entity Type: Organization
Organization Name: Lawrence J Waite
Primary Specialty: Optometrist
Enumeration Date: Dec 28, 2007
Last Updated: Apr 28, 2008

Practice Location

Address: 382 W CHURCH ST
City: Elmira
State: New York
ZIP Code: 14901-2621
Phone: (607) 733-2694

Authorized Official

Name: DR. LAWRENCE JOHN WAITE, OD
Title: OWNER
Phone: (607) 733-2694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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