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Individual

DENNIS G RICHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
403 WALNUT ST, LAWRENCEBURG, IN 47025
(812) 537-2020
(812) 537-1157
Mailing address
PO BOX 4145, LAWRENCEBURG, IN 47025-4145
(812) 537-2020
(812) 537-1157

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001692A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000023045
ANTHEM
IN
01
0692
HUMANA
IN
05
100153120A
IN
Enumeration date
02/01/2007
Last updated
03/06/2009
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