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Individual

DR. JACK MICHAEL LAMOINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
9117 LYNDALE AVE S, BLOOMINGTON, MN 55420-3522
(952) 835-1235
(952) 835-1092
Mailing address
2919 CHESTNUT ST, GRAND FORKS, ND 58201-7527

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
390200000X
OR
152W00000X
Optometrist
Primary
4024
MN
152W00000X
Optometrist
OPT.0004048
CO

Other

Enumeration date
05/30/2024
Last updated
08/25/2025
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