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Organization

LYNNE C ERBE OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNNE C ERBE OD (OWNER)
(772) 873-0037
Entity
Organization

Contact information

Practice address
704 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-3225
(772) 873-0037
(772) 272-8771
Mailing address
704 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-3225
(772) 873-0037
(772) 272-8771

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620970000
FL
Enumeration date
08/01/2007
Last updated
11/03/2022
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