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Legacy Eye Institute Plc

Ophthalmology in Lapeer, MI. Organization (NPI-2).

NPI number1114565249
StatusActive
Last updated in NPPESDec 19, 2019

Details

NPI
1114565249
Entity type
Organization (NPI-2)
Legal business name
Legacy Eye Institute Plc
Organization subpart
No
Enumeration date
Dec 19, 2019
Certification date
Dec 19, 2019
Last updated
Dec 19, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes

Practice location

811 East St
Lapeer, MI 48446-3033

Phone 810-267-9700 · Fax 810-356-5819

Mailing address

811 East St
Lapeer, MI 48446-3033

Phone 810-267-9700 · Fax 810-356-5819

Authorized official

Athear Alrawi
Doctor/Owner
2482298436

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