Lauren Ta, OD

NPI #1811973605 in Mount Horeb, Wisconsin

Provider Information

NPI Number: 1811973605
Entity Type: Individual
Name: Lauren Ta, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 22, 2005
Last Updated: Jul 9, 2010

Practice Location

Address: 428 W MAIN ST
City: Mount Horeb
State: Wisconsin
ZIP Code: 53572-1902
Phone: (608) 437-3377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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