Organization
LEGACY EYE INSTITUTE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATHEAR M. ALRAWI M.D. (PRESIDENT)
(248) 229-8436
Entity
Organization
Contact information
Practice address
811 EAST STREET, LAPEER, MI 48446-3033
(810) 267-9700
Mailing address
811 EAST STREET, LAPEER, MI 48446-3033
(810) 267-9700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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