Individual
RYAN LAWRENCE ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1502 WOODLANE DR, WOODBURY, MN 55125-2221
(651) 735-9550
Mailing address
513 S 10TH ST, MINNEAPOLIS, MN 55404-1013
(763) 420-5112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3405
MN
Other
Enumeration date
08/07/2014
Last updated
03/05/2020
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