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Organization

AEG WASHINGTON PROFESSIONAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRANT LINDBERG OD (OWNER)
(618) 462-9818
Entity
Organization

Contact information

Practice address
12310 NE 8TH ST STE 101, BELLEVUE, WA 98005-3185
(425) 455-0001
(314) 741-4947
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
01/24/2023
Last updated
09/18/2023
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