Individual
DR. GEORGE JOHN LACH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 E MAIN ST, MANKATO, MN 56001-3574
(507) 345-5087
Mailing address
1722 CANDI LN, NORTH MANKATO, MN 56003-2001
(507) 388-7902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2758
MN
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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