DR. Laurie Costarelli, OD

NPI #1417955600 in Bloomsburg, Pennsylvania

Provider Information

NPI Number: 1417955600
Entity Type: Individual
Name: DR. Laurie Costarelli, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 301 EAST ST
City: Bloomsburg
State: Pennsylvania
ZIP Code: 17815-1846
Phone: (570) 387-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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