DR. Lawrence Raymond Custer, OD

NPI #1740406214 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1740406214
Entity Type: Individual
Name: DR. Lawrence Raymond Custer, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 17, 2007
Last Updated: Feb 28, 2008

Practice Location

Address: 1512 COASTAL GRAND CIR
Address 2: C330
City: Myrtle Beach
State: South Carolina
ZIP Code: 29577-0015
Phone: (843) 444-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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