# LIFETIME NEURO-VISION THERAPY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396466926
- **Authorized official:** TERESA LEE ANDERSON (ACCOUNTING)
- **Authorized official phone:** (507) 282-7121

## Contact information

- **Practice address:** 3632 10TH LN NW STE 1, ROCHESTER, MN 55901-7032
- **Practice address phone:** (507) 282-7121
- **Mailing address:** 3632 10TH LN NW STE 1, ROCHESTER, MN 55901-7032
- **Mailing address phone:** (507) 282-7121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WV0400X | Vision Therapy Optometrist | — | NULL | Yes |
| 152WV0400X | Vision Therapy Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2022
- **Last updated:** 09/12/2022