Organization
LOREN STUECKLE O.D.,P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN G STUECKLE O.D. (OPTOMETRIST)
(509) 952-4574
Entity
Organization
Contact information
Practice address
1321 N COLUMBIA CENTER BLVD, SUITE 100, KENNEWICK, WA 99336-2184
(509) 783-2555
(509) 783-0830
Mailing address
PO BOX 147, YAKIMA, WA 98907-0147
(509) 952-4574
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1306
WA
Other
Enumeration date
05/18/2007
Last updated
01/11/2008
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