Individual
MRS. LAUREN E COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
255 ROMENCE RD. HIEMSTRA OPTICAL CO., PORTAGE, MI 49024
(269) 324-0800
(269) 324-0894
Mailing address
255 ROMENCE RD. HIEMSTRA OPTICAL CO., PORTAGE, MI 49024
(269) 324-0800
(269) 324-0894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004853
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2011
Last updated
01/15/2025
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