Individual
DR. TAYLOR LEE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
900 W MEM DR, HOUGHTON, MI 49931
(906) 487-9767
(906) 487-9380
Mailing address
208 E SOUTH AVE, HOUGHTON, MI 49931-2010
(269) 806-5577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005117
MI
Other
Enumeration date
04/02/2018
Last updated
06/04/2018
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