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Individual

LYLE W AMRHEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3 PARKVIEW CT, CAMBRIDGE CITY, IN 47327-1149
(765) 478-3717
Mailing address
3 PARKVIEW CT, CAMBRIDGE CITY, IN 47327-1149
(765) 478-3717

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002031
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100256550
IN
Enumeration date
01/06/2006
Last updated
03/10/2015
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