NPI 1154591097

Lawrence A. Stranch

Organisation Eyewear Supplier Live Oak, FL

Practice location

Address: 522 Ohio Ave S, Live Oak, FL 32064-3219
Phone: (386) 364-7793
Mailing address: PO Box F, Live Oak, FL 32064-0300

Authorised official

Name: Lawrence A. Stranch
Title: Owner
Phone: (386) 364-7793

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence OPC 000767 (FL)

Other Eyewear Supplier providers in Florida →

Registry record

NPI: 1154591097
Entity type: Organization
NPI issued: 6 Mar 2008
Record last updated: 6 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.