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Individual

DR. LON C ARNESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
113 N BRIDGE ST, CHIPPEWA FALLS, WI 54729-2404
(715) 723-9187
(715) 723-1755
Mailing address
113 N BRIDGE ST, CHIPPEWA FALLS, WI 54729-2404
(715) 723-9187
(715) 723-1755

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1522
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38515500
WI
Enumeration date
01/18/2006
Last updated
04/24/2008
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