Individual
SARA E PASTRYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3424 MORMON COULEE RD, LA CROSSE, WI 54601-6750
(608) 788-4300
(608) 788-4325
Mailing address
3424 MORMON COULEE RD, LA CROSSE, WI 54601-6750
(608) 788-4300
(608) 788-4325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003287A
OPTOMETRIST LICENSE
IN
05
—
200498380
—
IN
Enumeration date
12/23/2005
Last updated
08/16/2010
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