Individual
DR. LAURA L FLOCKENCIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1540 HUMBOLDT AVE, WEST ST PAUL, MN 55118-3417
(651) 457-2020
Mailing address
1536 PASCAL ST N, SAINT PAUL, MN 55108-2329
(651) 659-0591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2487
MN
152W00000X
Optometrist
T03276
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788214900
—
MN
Enumeration date
06/12/2007
Last updated
07/30/2007
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