Amanda C Lallensack, OD

NPI #1477178259 in Crandon, Wisconsin

Provider Information

NPI Number
1477178259
Entity Type
Individual
Name
Amanda C Lallensack, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 8, 2020
Last Updated
Aug 17, 2021

Practice Location

Address
8201 MISH KO SWEN DR
ZIP Code
54520-8631
Phone
(715) 478-4300

Specialties & Taxonomy Codes

Specialty
Optometrist

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Organizations

Provider Name
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