Organization
CONNIE LAWRENCE-WILLIS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE LAWRENCE-WILLIS O.D. (PRESIDENT/OWNER)
(772) 589-7337
Entity
Organization
Contact information
Practice address
2001 US HIGHWAY 1, SEBASTIAN, FL 32958-1615
(772) 589-7337
(772) 589-9238
Mailing address
13 SUNSET DR, SEBASTIAN, FL 32958-3508
(772) 589-7337
(772) 589-9238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3016
FL
Other
Enumeration date
09/20/2007
Last updated
11/01/2007
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