LANNY F DUCLOS JR. OD

LANNY F DUCLOS OD PC

Dr LANNY F DUCLOS JR. OD is a male medical professional, specializing in Optometry. He graduated in 1989 from Pacific University - College Of Optometry.

Contact

LANNY F DUCLOS OD PC

88 E 700
SUITE A
TOOELE
UT
840741818

Tel: 4358826452

LANNY F DUCLOS JR. OD Information

Npi 1508827262
Pac Id 0446251938
Professional Enrollment Id I20070126000001
Last Name DUCLOS
First Name LANNY
Middle Name F
Suffix JR.
Gender M
Credential OD
Medical School Name PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1989
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LANNY F DUCLOS OD PC
Group Practice Pac Id 0547363822
Number Of Group Practice Members 2
Line 1 Street Address 88 E 700
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City TOOELE
State UT
Zip Code 840741818
Phone Number 4358826452
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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