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Individual

LAUREN NICOLE TATLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
926 E DOUGLAS AVE, WICHITA, KS 67202-3510
(316) 247-6515
Mailing address
926 E DOUGLAS AVE, WICHITA, KS 67202-3510
(316) 217-7459
(678) 928-0651

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2019018294
MO
152W00000X
Optometrist
Primary
2109
KS

Other

Enumeration date
07/02/2019
Last updated
07/16/2019
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