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Individual

BRUCE A LAHMAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
601 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9010
(715) 284-9451
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2090
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38584200
WI
Enumeration date
06/23/2005
Last updated
02/08/2016
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