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Provider Information for 1467882050

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. NORA LEE COTHRAN O.D.

Gender: FEMALE

Individual NPI: 1467882050

Calendar   Last Updated:  2020-01-09
  Certification Date:  2020-01-09

Details

Name Value
NPI 1467882050
Enumeration Date 2013-11-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1225 W BAY DR
LARGO, FL 33770-2203
United States

Phone: 727-581-8706 | Fax:
View Map External Link
Primary Practice Address 1225 W BAY DR
LARGO, FL 33770-2203
United States

Phone: 727-581-8706 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 152W00000X - Optometrist FL OPC 4858