Individual
JAMES R TANNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3829 UNION ST, LAFAYETTE, IN 47905-4454
(765) 447-4951
(765) 447-4834
Mailing address
3829 UNION ST, LAFAYETTE, IN 47905-4454
(765) 447-4951
(765) 447-4834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001473
IN
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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