Individual
SHANNON RENEE MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
180 KEN PRATT BLVD, LONGMONT, CO 80501-8974
(303) 776-4309
Mailing address
113 KEEP CIR, BERTHOUD, CO 80513-1372
(952) 769-7877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT3059
CO
Other
Enumeration date
06/24/2014
Last updated
02/05/2021
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