NPI 1770503914

Larry a Koval, OD

Practitioner Optometrist Lebanon, IN

Practice location

Address: 2705 N Lebanon St STE 230, Lebanon, IN 46052-8627
Phone: (765) 482-2066
Fax: (765) 482-4847
Mailing address: 1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 18002079 (IN)

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Registry record

NPI: 1770503914
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 13 Dec 2021

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.