Individual
DR. LORAYNE CAROLINE MIDDENDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2513 HAMILTON BLVD, SIOUX CITY, IA 51104-4045
(712) 252-0933
Mailing address
600 3RD AVE SE, LE MARS, IA 51031-2459
(712) 540-7832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02222
IA
Other
Enumeration date
01/13/2006
Last updated
03/03/2008
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