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Individual

DR. LYNN ANN CARLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O D

Contact information

Practice address
1909 MAIN ST, MILES CITY, MT 59301-3724
(406) 234-7426
(406) 234-7005
Mailing address
90 SPRUCE DR, MILES CITY, MT 59301-4924
(406) 232-4615

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
515
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0481546
MT
Enumeration date
02/20/2006
Last updated
07/20/2009
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