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Organization

L.D PECK,PC

Active
Other names
VISION CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY D PECK DO (PRESIDENT)
(319) 524-3651
Entity
Organization

Contact information

Practice address
1813 MAIN ST, KEOKUK, IA 52632-3326
(319) 524-3651
(319) 524-6118
Mailing address
1813 MAIN ST, KEOKUK, IA 52632-3326
(319) 524-3651
(319) 524-6118

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1719
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1900894
IA
Enumeration date
11/13/2006
Last updated
12/12/2012
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