Brooke Bush

NPI #1679924419 in Lakeville, Minnesota

Provider Information

NPI Number: 1679924419
Entity Type: Organization
Organization Name: Brooke Bush
Primary Specialty: Optometrist
Enumeration Date: Jun 22, 2016
Last Updated: Jun 22, 2016

Practice Location

Address: 18275 KENRICK AVE
City: Lakeville
State: Minnesota
ZIP Code: 55044-7306
Phone: (507) 884-9474

Authorized Official

Name: BROOKE BUSH
Title: OPTOMETRIST
Phone: (507) 884-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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