Individual
WENDY KAY LAWSON-KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2400 SW 10TH ST, MINOT, ND 58701
(701) 852-6836
(701) 852-0971
Mailing address
1940 16TH ST NW, MINOT, ND 58703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2822
MN
152W00000X
Optometrist
Primary
600
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60594
—
ND
Enumeration date
08/30/2006
Last updated
07/08/2007
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