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Individual

MRS. LAURA JEAN KNAPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
17-10 FAIR LAWN AVE, 2ND FLOOR, FAIR LAWN, NJ 07410-2324
(201) 794-7977
Mailing address
17-10 FAIR LAWN AVE, 2ND FLOOR, FAIR LAWN, NJ 07410-2324
(201) 794-7977

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002061
VA
152WV0400X
Vision Therapy Optometrist
Primary
27OA00671000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245518323
VA
Enumeration date
07/24/2011
Last updated
06/29/2017
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