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NPI Code Detail

MEDICARE: DR. LAURA L SEIGAL O.D.

MEDICARE: DR. LAURA L SEIGAL O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4429-1020TOH

General Provider Information

NPI Number : 1124037791
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA L SEIGAL O.D.
Provider Business Mailing Address
First Line : 10034 PARKLAND DR
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-3315
Country : US
Telephone Number : 330-923-9860
Fax Number : 330-923-9865
Provider Business Practice Location Address
First Line : 3520 HUDSON DR
Second Line :
City : STOW
State : OH
Zip : 44224-2907
Country : US
Telephone Number : 330-923-9860
Fax Number : 330-923-9865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 07/08/2007

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