Individual
LINDSEY RENEE MARVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
425 7TH STREET NW, CASS LAKE INDIAN HOSPITAL ,, CASS LAKE, MN 56633
(405) 509-3913
Mailing address
17217 SADDLECREEK WAY, EDMOND, OK 73012-7417
(405) 509-3913
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-OPT-LIC-1620
MN
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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