Individual
LAURA CEUNINCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1460 CORNERSTONE BLVD, DAYTONA BEACH, FL 32117-7174
(386) 760-3330
Mailing address
1460 CORNERSTONE BLVD, DAYTONA BEACH, FL 32117-7174
(386) 760-3330
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5779
FL
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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