Organization
LESCO OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO ALBERTO GUAYANTE L.D.O. (VICE PRESIDENT)
(520) 323-6513
Entity
Organization
Contact information
Practice address
4444 E GRANT RD, SUITE 118, TUCSON, AZ 85712-2696
(520) 323-6513
(520) 323-9141
Mailing address
4444 E GRANT RD, SUITE 118, TUCSON, AZ 85712-2696
(520) 323-6513
(520) 323-9141
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2033I
AZ
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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