Individual
DR. LARRY DEAN MOOMEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
801 NO GRANT, LEXINGTON, NE 68850
(308) 324-5631
(308) 324-3096
Mailing address
BOX 637, LEXINGTON, NE 68850-0637
(308) 324-5631
(308) 324-3096
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
769
NE
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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