Individual
DR. LAWRENCE MICHAEL ZUBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6874
Mailing address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODP-876
ID
152W00000X
Optometrist
Primary
OEG001414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
700000000009
—
UT
05
—
H1232
—
NM
Enumeration date
07/08/2005
Last updated
04/04/2013
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