Individual
TAYLOR LAUREN WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1020 GIBSON BAY DR, RICHMOND, KY 40475-3448
(859) 623-3358
(859) 623-8141
Mailing address
1020 GIBSON BAY DR, RICHMOND, KY 40475-3448
(859) 623-3358
(859) 623-8141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2078DT
KY
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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