Individual
DR. LAVENDER SUMMER STREIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
MARSHFIELD CLINIC, 1000 N OAK AVENUE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046009684
IL
152W00000X
Optometrist
Primary
4033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009684
—
IL
01
—
1634550
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/18/2006
Last updated
06/23/2025
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