Lakeshore Vision Centers Ltd

NPI #1073663704 in Kewaunee, Wisconsin

Provider Information

NPI Number
1073663704
Entity Type
Organization
Organization Name
Lakeshore Vision Centers Ltd
Primary Specialty
Clinic/Center
Enumeration Date
Jan 12, 2007
Last Updated
Apr 22, 2009

Practice Location

Address
1217 ELLIS ST
ZIP Code
54216
Phone
(920) 388-2020

Authorized Official

Name
SUSAN A GORZ, OD
Title
CO OWNER VICE PRESIDENT
Phone
(920) 487-2020

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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