Individual
LAWRENCE ALAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3710 SAINT JOHNS AVE, PALATKA, FL 32177-4026
(386) 328-2020
(386) 328-6430
Mailing address
3710 SAINT JOHNS AVE, PALATKA, FL 32177-4026
(386) 328-2020
(386) 328-6430
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO889
FL
Other
Enumeration date
03/26/2007
Last updated
01/23/2008
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