Individual
DR. LARRY J TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3031 FLINT HILLS DR, BURLINGTON, IA 52601-0696
(319) 754-5518
(319) 754-9531
Mailing address
P.O. BOX 696, BURLINGTON, IA 52601-0696
(319) 754-5518
(319) 754-9531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1580
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011866
—
IA
01
—
01186
BCBS
IA
Enumeration date
08/02/2005
Last updated
10/17/2014
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