Provider Demographics
NPI:1326045618
Name:STERN, LAWRENCE R (OD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:R
Last Name:STERN
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:3655 W ANTHEM WAY
Mailing Address - Street 2:STE B149
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0435
Mailing Address - Country:US
Mailing Address - Phone:623-879-3937
Mailing Address - Fax:623-551-1700
Practice Address - Street 1:3655 W ANTHEM WAY
Practice Address - Street 2:STE B149
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-0430
Practice Address - Country:US
Practice Address - Phone:623-879-3937
Practice Address - Fax:623-551-1700
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2009-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZA805152W00000X
FLFLA2564152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist