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Individual

DR. ROBERT LESLIE BURNS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
54 CHESTNUT ST, LEWISTOWN, PA 17044-2201
(717) 248-4574
(717) 248-3937
Mailing address
149 WALNUT ST, PO BOX 18, REEDSVILLE, PA 17084-0018
(717) 667-6473

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000614
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OEG000614
STATE OPTOMETRIC LICENSE
PA
Enumeration date
12/06/2005
Last updated
07/08/2007
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