Lori Kay Egeberg

NPI #1619347622 in Brookings, South Dakota

Provider Information

NPI Number: 1619347622
Entity Type: Organization
Organization Name: Lori Kay Egeberg
Primary Specialty: Eyewear Supplier
Enumeration Date: Oct 2, 2015
Last Updated: Oct 2, 2015

Practice Location

Address: 511 6TH ST
City: Brookings
State: South Dakota
ZIP Code: 57006-1436
Phone: (605) 692-5600

Authorized Official

Name: LORI KAY EGEBERG
Title: OWNER
Phone: (605) 692-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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