Individual
LORI ANN GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1665 UTICA AVE S STE 100, SAINT LOUIS PARK, MN 55416-3476
(952) 541-2500
(952) 541-2539
Mailing address
8170 33RD AVE S # 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2185
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051325300
—
MN
Enumeration date
03/07/2006
Last updated
03/17/2021
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