Individual
SHELLY LEE SKJOLAAS-LINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2300 US HIGHWAY 51 AND 138, STE E, STOUGHTON, WI 53589-2080
(608) 205-2293
(608) 205-6813
Mailing address
2300 US HIGHWAY 51 AND 138, STE E, STOUGHTON, WI 53589-2080
(608) 205-2293
(608) 205-6813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007713
NY
152W00000X
Optometrist
Primary
3402-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03361759
—
NY
Enumeration date
06/24/2011
Last updated
06/16/2016
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