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Individual

MARGARET L ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
105 MAIN ST, LAFAYETTE, TN 37083-1225
(615) 666-6004
(615) 666-6004
Mailing address
PO BOX 302, LAFAYETTE, TN 37083-0302
(615) 666-6004
(615) 666-6004

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD467
TN
152WC0802X
Corneal and Contact Management Optometrist
OD467
TN
152WP0200X
Pediatric Optometrist
OD467
TN

Other

Enumeration date
10/21/2005
Last updated
07/02/2008
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