Individual
LOREN G STUECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1321 N COLUMBIA CENTER BLVD, SUITE 100, KENNEWICK, WA 99336-2184
(509) 783-2555
(509) 783-0838
Mailing address
PO BOX 147, YAKIMA, WA 98907-0147
(509) 952-4574
(509) 697-3223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 1306
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
602011840
UBI
—
Enumeration date
11/14/2006
Last updated
01/11/2008
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