Lake Optometric Vision PA

NPI #1831356773 in Lindstrom, Minnesota

Provider Information

NPI Number
1831356773
Entity Type
Organization
Organization Name
Lake Optometric Vision PA
Primary Specialty
Optometrist
Enumeration Date
May 19, 2008
Last Updated
May 19, 2008

Practice Location

Address
12700 LAKE BLVD
ZIP Code
55045
Phone
(651) 257-2419

Authorized Official

Name
DR. VERNON BRUCE LOVDOKKEN, OD
Title
OWNER
Phone
(651) 257-2419

Specialties & Taxonomy Codes

Specialty
Optometrist

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