Individual
DR. BRYAN EDWARD LALLATHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 COMMON DR, EL PASO, TX 79936-5922
(915) 267-2020
(915) 595-4460
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 598-7488
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2133
OK
152W00000X
Optometrist
Primary
5069TG
TX
Other
Enumeration date
05/31/2006
Last updated
11/10/2021
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