Individual
DR. LACY ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 NORTHSIDE DR E, STATESBORO, GA 30458-1002
(912) 764-9147
(912) 764-3250
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 5089
FL
152W00000X
Optometrist
Primary
OPT002952
GA
Other
Enumeration date
07/01/2015
Last updated
04/10/2024
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