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NPI Code Detail

MEDICARE: MR. STEPHEN J. LAQUIS M.D.

MEDICARE:  MR. STEPHEN J. LAQUIS  M.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
1207W00000XOphthalmology PhysicianME82974FL

General Provider Information

NPI Number : 1588608624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN J. LAQUIS M.D.
Provider Business Mailing Address
First Line : 7331 COLLEGE PKWY
Second Line : STE 200
City : FORT MYERS
State : FL
Zip : 33907-5524
Country : US
Telephone Number : 239-947-4042
Fax Number : 239-390-9976
Provider Business Practice Location Address
First Line : 7331 COLLEGE PKWY
Second Line : STE 200
City : FORT MYERS
State : FL
Zip : 33907-5524
Country : US
Telephone Number : 239-947-4042
Fax Number : 239-390-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 02/11/2025

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Directions to “ MR. STEPHEN J. LAQUIS M.D.” Practice Location

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