Individual provider · NPI-1

Lonnie E. Burrow, Licensed Optician

Technician/Technologist, Optician · Little Rock, AR

NPI number1609012053
StatusActive
Last updated in NPPESJan 6, 2009

Details

NPI
1609012053
Entity type
Individual (NPI-1)
Name
Mr. Lonnie E. Burrow
Credential
Licensed Optician
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 6, 2009
Last updated
Jan 6, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianL-015ARYes

Practice location

5909 R St
Little Rock, AR 72207-4417

Phone 501-664-9350 · Fax 501-661-9732

Mailing address

5909 R St
Little Rock, AR 72207-4417

Phone 501-664-9350 · Fax 501-661-9732

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