Individual
DR. LAWRENCE J MOTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
486
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01013875
PREFERRED ONE
ND
01
—
0255160001
CIGNA MEDICARE
ND
01
—
2200303
MEDICA
ND
01
—
410030693
TRAVELERS MEDICARE
ND
05
—
60463
—
ND
01
—
870486
NOVSI
ND
Enumeration date
07/10/2006
Last updated
08/23/2010
Update your record
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