Individual
DR. LLOYD K DEWAR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
121 S 3RD ST, ELLETTSVILLE, IN 47429-1507
(812) 876-6899
(812) 876-6809
Mailing address
PO BOX 278, ELLETTSVILLE, IN 47429-0278
(812) 876-6899
(812) 876-6809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001552B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152640A
—
IN
Enumeration date
09/13/2005
Last updated
01/23/2015
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