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Latricia Pack, OD
NPI 1043230477 · on the registry since 2006
Practice
- Address
- 1001 N Grand Ave
Tahlequah, OK 74464 - Phone
- (918) 458-2109
- Fax
- (918) 458-2310
- Organisation at this address
- Northeastern State University College Of Optometry
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 62
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma