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Contact Information

L.D PECK,PC
716 AVENUE G
FORT MADISON, IA52627
 Phone: 319-372-2321
 Fax: 319-372-2850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LD PECKPC · (Female)

NPI Number 1992281984
Status Active
Credentials
Entity Individual
Enumeration date 07/13/2018
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 01719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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