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Individual

DR. LAWRENCE W SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5684 N. CENTER PARK WAY, BAYSHORE TOWN CENTER, GLENDALE, WI 53217-1320
(414) 962-2021
(414) 962-2021
Mailing address
2925 WASHINGTON AVE, RACINE, WI 53405-5004
(262) 308-0027
(262) 308-0027

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2331035
WI

Other

Enumeration date
05/17/2006
Last updated
07/08/2007
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