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Organization

LPEC MEDICAL EYECARE PLLC

Active
Other names
Lake Plains Eye Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR W MRUCZEK SR. MD (OWNER)
(585) 798-2020
Entity
Organization

Contact information

Practice address
500 ERIE ST, MEDINA, NY 14103-1010
(585) 798-2020
(585) 798-3365
Mailing address
500 ERIE ST, MEDINA, NY 14103-1010
(585) 798-2020
(585) 798-3365

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
006723
NY
332H00000X
Eyewear Supplier
Primary
120403
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02140210
NY
Enumeration date
04/28/2008
Last updated
04/28/2008
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