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Organization

MARSHA LAWRENCE

Active
Other names
RX Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA LEE LAWRENCE (OWNER)
(724) 377-0064
Entity
Organization

Contact information

Practice address
525 FRONT ST, FREDERICKTOWN, PA 15333
(724) 377-0064
(724) 377-2119
Mailing address
PO BOX 698, 525 FRONT ST, FREDERICKTOWN, PA 15333
(724) 377-0064
(724) 377-2119

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018583860001
PA
Enumeration date
12/27/2005
Last updated
08/22/2020
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