Lakeshore Vision Centers Ltd

NPI 1073663704 - Clinic/Center - 261Q00000X

NPI Details
NPI 1073663704
Enumeration Date 01/12/2007
Last Updated 04/22/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUSAN A SUSAN
Position CO OWNER VICE PRESIDENT
Phone (920) 388-2020
Fax (920) 388-3594
Practice Location
1217 ELLIS ST
KEWAUNEE WI, 54216, US
Phone (920) 388-2020
Fax (920) 388-3594
Business Location
1217 ELLIS ST
KEWAUNEE WI, 54216, US
Phone (920) 388-2020
Fax (920) 388-3594
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
Remove 1073663704 NPI Number
 

According to our database, Lakeshore Vision Centers Ltd NPI is 1073663704, taxonomy code is 261Q00000X Lakeshore Vision Centers Ltd physically located at 1217 Ellis St, Kewaunee WI, 54216. NPI Number 1033115704 has the healthcare provider type.

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1073663704 NPI number is provided on an as is basis without warranty of any kind. 1073663704 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Vision Centers Ltd are for informational purposes only.