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MRS. LAURA LOUISE BENSON LDO

Eye and Vision Services Providers Technician/Technologist Contact Lens

Provider NPI: 1851479083

Provider Information:
MRS. LAURA LOUISE BENSON LDO
Gender: F
Not Sole Proprietor

Practice Location:
2252 NW 27TH CIR  CAMAS, WA 98607-8072 US
Tel: 360-910-6844  Fax: --

Business Mailing Address:
2252 NW 27TH CIR  CAMAS, WA 98607-8072 US
Tel: 360-910-6844  Fax: --

NPI Information:
NPI: 1851479083
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FC0800XEye and Vision Services Providers
Technician/Technologist
Contact Lens
WA1901

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 156FC0800X

Type:

Classification:



Definition:



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