Individual
LAUREN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
302 S KNOWLES AVE, NEW RICHMOND, WI 54017-1731
(715) 246-2419
Mailing address
302 S KNOWLES AVE, NEW RICHMOND, WI 54017-1731
(715) 246-2419
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3405-35
WI
152W00000X
Optometrist
3461
MN
Other
Enumeration date
06/06/2013
Last updated
06/04/2025
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