DR. Penporn Vongsvivut Reck, MD

NPI #1811919871 in Lacey, Washington

Provider Information

NPI Number: 1811919871
Entity Type: Individual
Name: DR. Penporn Vongsvivut Reck, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Apr 10, 2025

Practice Location

Address: 345 COLLEGE ST SE STE C
City: Lacey
State: Washington
ZIP Code: 98503-1014
Phone: (360) 456-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Ophthalmology	207W00000X	Primary

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