Individual
DR. LARRY LEON BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3915 TALBOT RD S, SUITE 209, RENTON, WA 98055-5738
(425) 235-9911
(425) 254-8807
Mailing address
3915 TALBOT RD S, SUITE 209, RENTON, WA 98055-5738
(425) 235-9911
(425) 254-8807
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OD00001150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025096
—
WA
Enumeration date
06/22/2006
Last updated
07/09/2007
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