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DR. PHUONG LAN DUONG OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1346838372

Individual Registrant:
DR. PHUONG LAN DUONG OD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1140 EDWARDS VILLAGE BLVD UNIT B206  EDWARDS, CO 81632-5562 US
Tel: 970-926-8474  Fax: --

Contact information for business:
1140 EDWARDS VILLAGE BLVD UNIT B206  EDWARDS, CO 81632-5562 US
Tel: 970-926-8474  Fax: --

Registration Information:
NPI: 1346838372
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
COOPT0003648

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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