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Individual

ROGER L LIGGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2940 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 838-3297
(219) 838-3391
Mailing address
2940 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 838-3297
(219) 838-3391

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18001493A
IN
152W00000X
Optometrist
Primary
18001493B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100157630
IN
Enumeration date
05/04/2006
Last updated
02/23/2018
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