Individual
TEDD LOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1470 MARVIN RD NE, LACEY, WA 98516-3870
(360) 412-3492
(360) 412-3493
Mailing address
1470 MARVIN ROAD NE, LACEY, WA 98516-3870
(360) 412-3492
(360) 412-3493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3186
WA
Other
Enumeration date
02/20/2007
Last updated
09/09/2016
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