Organization
DR L BRENDT PARK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIN B PARK O.D. (PRESIDENT)
(509) 542-1151
Entity
Organization
Contact information
Practice address
4820 N ROAD 68, PASCO, WA 99301-9009
(509) 543-7953
(509) 543-7955
Mailing address
5204 MATIA LN, PASCO, WA 99301-7888
(509) 542-1151
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WA
Other
Enumeration date
06/21/2006
Last updated
10/02/2007
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