Individual
MICHELE LAQUIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
738 PRE EMPTION RD, GENEVA, NY 14456-1336
(315) 789-8897
Mailing address
738 PRE EMPTION RD, GENEVA, NY 14456-1336
(315) 789-8897
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008871
NY
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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