Individual
DR. LANCE MITCHELL KOEPNICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11654 N KENDALL DR, MIAMI, FL 33176-1005
(305) 271-1364
(305) 596-4237
Mailing address
11654 N KENDALL DR, MIAMI, FL 33176-1005
(305) 271-1364
(305) 596-4237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2066
FL
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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