Individual
LEE JOSEPH GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4201 W DIVISION ST STE 90, SAINT CLOUD, MN 56301-4546
(320) 259-1131
(320) 259-9394
Mailing address
4201 W DIVISION ST STE 90, SAINT CLOUD, MN 56301-4546
(320) 259-1131
(320) 259-9394
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2812
MN
Other
Enumeration date
01/05/2007
Last updated
11/05/2020
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