Individual
DR. BRANDON SIMON LERNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2050 N RICHMOND RD, MCHENRY, IL 60051-5419
(815) 363-8555
Mailing address
6643 WHEATFIELD ST, WOODRIDGE, IL 60517-1715
(630) 408-1530
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010605
IL
Other
Enumeration date
07/26/2012
Last updated
01/17/2013
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