DR. Lawrence Allen Hicks, O.D.

NPI #1356433742 in La Porte, Indiana

Provider Information

NPI Number: 1356433742
Entity Type: Individual
Name: DR. Lawrence Allen Hicks, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 29, 2006
Last Updated: Sep 28, 2007

Practice Location

Address: 47 PINE LAKE AVE
City: La Porte
State: Indiana
ZIP Code: 46350-3027
Phone: (219) 325-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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