Individual
JACOB W LETOURNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
831 VERMONT ST, LAWRENCE, KS 66044-2665
(785) 843-5665
Mailing address
831 VERMONT ST, LAWRENCE, KS 66044-2665
(785) 843-5665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1779
KS
Other
Enumeration date
07/24/2007
Last updated
09/08/2010
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