Individual
DR. LAWRENCE-STUART MICIANO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1653 RIVER RUN STE 101, FORT WORTH, TX 76107-6680
(817) 727-4555
Mailing address
1653 RIVER RUN STE 101, FORT WORTH, TX 76107-6680
(817) 727-4555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11154
TX
152W00000X
Optometrist
15353
CA
152W00000X
Optometrist
958
NV
152W00000X
Optometrist
OD60589484
WA
Other
Enumeration date
07/24/2015
Last updated
06/25/2025
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