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Individual

DR. LOUIS R IACOPONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1301B N KINGS HWY, CHERRY HILL, NJ 08034-1918
(856) 795-5656
Mailing address
1301B N KINGS HWY, CHERRY HILL, NJ 08034-1918
(856) 795-5656

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00467400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2435705
NJ
Enumeration date
09/26/2006
Last updated
12/29/2009
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