Individual
DAVID LEE LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8090 LOONEY RD STE B, PIQUA, OH 45356-9250
(937) 606-2772
(937) 916-3206
Mailing address
8090 LOONEY RD STE B, PIQUA, OH 45356-9250
(937) 606-2772
(937) 916-3206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4367 T273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311542500
TAX ID
OH
Enumeration date
12/04/2006
Last updated
08/11/2021
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