Larry Tate, LDO

NPI #1336559186 in Corbin, Kentucky

Provider Information

NPI Number
1336559186
Entity Type
Individual
Name
Larry Tate, LDO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
LDO
Enumeration Date
May 2, 2014
Last Updated
May 2, 2014

Practice Location

Address
107 KENTUCKY STREET
City
Corbin
ZIP Code
40701
Phone
(606) 528-2833

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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