L.l. Douglass, Od, Pllc

NPI #1386188076 in Thornton, Colorado

Provider Information

NPI Number: 1386188076
Entity Type: Organization
Organization Name: L.l. Douglass, Od, Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 14, 2016
Last Updated: Dec 14, 2016

Practice Location

Address: 9601 GRANT ST
City: Thornton
State: Colorado
ZIP Code: 80229-2155
Phone: (303) 453-4972

Authorized Official

Name: DR. LOLA DOUGLASS, OD
Title: OPTOMETRIST
Phone: (806) 662-6812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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