Individual
MIRANDA LEPINSKI-PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
560 CEDAR ST, MONTICELLO, MN 55362-8403
(763) 270-2020
Mailing address
560 CEDAR ST, MONTICELLO, MN 55362-8403
(763) 270-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3436
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386025864
—
MN
Enumeration date
06/10/2015
Last updated
07/25/2019
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