Individual
LINDSAY LORIN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1407 W MAIN ST, GAYLORD, MI 49735-6901
(989) 217-3075
(989) 217-3003
Mailing address
3818 DIEBOLD RANCH RD, WEST BRANCH, MI 48661-9671
(989) 295-3222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004765
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407296296
—
MI
Enumeration date
06/26/2013
Last updated
07/21/2022
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