Individual
DR. CYNTHIA A LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O. D.
Contact information
Practice address
2260 MAIN ST., ROCHESTER, IN 46975
(574) 223-3916
(574) 223-2965
Mailing address
PO BOX 286, ROCHESTER, IN 46975-0286
(574) 223-3916
(574) 223-2965
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200377630
—
IN
Enumeration date
03/22/2006
Last updated
08/15/2018
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