Organization
LAWRENCE J WAITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JOHN WAITE OD (OWNER)
(607) 733-2694
Entity
Organization
Contact information
Practice address
382 W CHURCH ST, ELMIRA, NY 14901-2621
(607) 733-2694
(607) 733-1139
Mailing address
382 W CHURCH ST, ELMIRA, NY 14901-2621
(607) 733-2694
(607) 733-1139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV4209
NY
Other
Enumeration date
12/28/2007
Last updated
04/28/2008
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