Individual
DR. DANIEL ROBERT PETLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1701 S 5TH AVE, LEBANON, PA 17042-7908
(717) 228-6173
Mailing address
1701 S 5TH AVE, LEBANON, PA 17042-7908
(717) 228-6173
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-369
PA
Other
Enumeration date
02/14/2006
Last updated
08/06/2007
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