Lorayne Caroline Middendorp OD

NPI 1053390328 - Optometrist - 152W00000X

NPI Details
NPI 1053390328
Gender Female
Enumeration Date 01/13/2006
Last Updated 03/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2513 HAMILTON BLVD
SIOUX CITY IA, 51104-4045, US
Phone (712) 252-0933
Fax
Business Location
600 3RD AVE SE
LE MARS IA, 51031-2459, US
Phone (712) 540-7832
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 02222
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According to our database, Dr. Lorayne Caroline Middendorp OD NPI is 1053390328, taxonomy code is 152W00000X and license number is 02222, license state is located at Iowa. Lorayne Caroline Middendorp OD physically located at 2513 Hamilton Blvd, Sioux City IA, 51104-4045. NPI Number Lorayne Caroline Middendorp OD has the Individual type.

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1053390328 NPI number is provided on an as is basis without warranty of any kind. 1053390328 is maintained by the National Plan & Provider Enumeration System. The contents of Lorayne Caroline Middendorp OD are for informational purposes only.