Organization
ELBOW LAKE EYE CARE CENTER
Active
Parent organization
LAKE REGION HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE REGION HEALTHCARE
Authorized official
LISA JOHNSON (MEDICAL STAFF SERVICES COORDINATOR)
(218) 736-8477
Entity
Organization
Contact information
Practice address
930 1ST ST NE # 101, ELBOW LAKE, MN 56531-4611
(218) 685-4341
Mailing address
930 1ST ST NE # 101, ELBOW LAKE, MN 56531-4611
(218) 685-4341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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