Individual
DR. LARRY DON PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
716 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-2321
(319) 372-2850
Mailing address
716 AVENUE G, FORT MADISON, IA 52627-2927
(319) 372-2321
(319) 372-2850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1719
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2900894
—
IA
Enumeration date
09/13/2005
Last updated
07/21/2022
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