Individual
CEDORA LYNN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
200 WALMART WAY, MOREHEAD, KY 40351-7217
(606) 784-2090
(606) 784-2124
Mailing address
200 WALMART WAY, MOREHEAD, KY 40351-7217
(606) 784-2090
(606) 784-2124
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110632
KY
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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