Organization
BRETT LORENZ, OD, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LORENZ OD (OPTOMETRIST)
(605) 380-5404
Entity
Organization
Contact information
Practice address
510 W EMPIRE MALL, SIOUX FALLS, SD 57106-6509
(605) 362-7944
(605) 362-7945
Mailing address
5316 S CHINOOK AVE, SIOUX FALLS, SD 57108-2588
(605) 380-5404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932769528
—
SD
Enumeration date
12/11/2019
Last updated
12/11/2019
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