Individual
LEXI TAYLOR KORTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
900 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-3236
(928) 779-7000
Mailing address
1600 W UNIVERSITY AVE STE 105, FLAGSTAFF, AZ 86001-3154
(928) 240-9214
(928) 240-9212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002429
AZ
Other
Enumeration date
06/24/2020
Last updated
05/17/2021
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