Alan L Latourette Estate Vicki C Latourette Ex

NPI #1992014526 in Rogers, Arkansas

Provider Information

NPI Number: 1992014526
Entity Type: Organization
Organization Name: Alan L Latourette Estate Vicki C Latourette Ex
Primary Specialty: Optometrist
Enumeration Date: Sep 30, 2010
Last Updated: Mar 29, 2011

Practice Location

Address: 1401 W WALNUT ST
City: Rogers
State: Arkansas
ZIP Code: 72756-3317
Phone: (479) 636-2012

Authorized Official

Name: MRS. VICKI C LATOURETTE
Title: EXECUTRIX OF ALAN LATOURETTE ESTATE
Phone: (479) 636-2012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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