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Individual

DR. LAURIE RENE DAVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
975 KIRMAN AVE, RENO, NV 89502-0993
(775) 328-1773
Mailing address
2295 KIETZKE LN, RENO, NV 89502-3604
(775) 829-5685

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12840T
CA
152W00000X
Optometrist
612
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12257005
CAQH
01
FK321Z
MEDICARE PTAN
NV
Enumeration date
08/16/2005
Last updated
04/17/2026
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