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NPI Code Detail

MEDICARE: RAYMOND A LALONDE O.D.

MEDICARE: RAYMOND A LALONDE 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
1152W00000XOptometristRL003052MI

General Provider Information

NPI Number : 1326091521
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND A LALONDE O.D.
Provider Business Mailing Address
First Line : PO BOX 325
Second Line :
City : PINCONNING
State : MI
Zip : 48650-0325
Country : US
Telephone Number : 989-879-3937
Fax Number : 989-879-3981
Provider Business Practice Location Address
First Line : 1948 N HURON RD
Second Line :
City : PINCONNING
State : MI
Zip : 48650-7909
Country : US
Telephone Number : 989-879-3937
Fax Number : 989-879-3981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 12/14/2007

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Directions to “ RAYMOND A LALONDE O.D.” Practice Location

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