Individual
LEE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13160 230TH ST N, SCANDIA, MN 55073-9553
(651) 503-4838
Mailing address
13160 230TH ST N, SCANDIA, MN 55073-9553
(651) 503-4838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1822
MN
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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