Individual
LAWRENCE M IRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5000 S ARIZONA MILLS CIR STE 165, TEMPE, AZ 85282-6417
(480) 820-3813
Mailing address
5000 S ARIZONA MILLS CIR STE 165, TEMPE, AZ 85282-6417
(480) 820-3813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
811
AZ
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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