Organization
ZUMBROTA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY ANN LEXVOLD (OWNER)
(507) 732-5013
Entity
Organization
Contact information
Practice address
352 S MAIN ST, ZUMBROTA, MN 55992-1544
(507) 732-5013
(507) 732-5401
Mailing address
PO BOX 38, ZUMBROTA, MN 55992-0038
(507) 732-5013
(507) 732-5401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/29/2013
Last updated
12/29/2013
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