DR. Becky Lee Mcilonie Vandeberg, O.D.

NPI #1245430370 in Fargo, North Dakota

Provider Information

NPI Number: 1245430370
Entity Type: Individual
Name: DR. Becky Lee Mcilonie Vandeberg, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 18, 2007
Last Updated: Apr 24, 2020

Practice Location

Address: 1702 UNIVERSITY DR S
City: Fargo
State: North Dakota
ZIP Code: 58103-4940
Phone: (701) 364-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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