Organization
OVO LASIK AND LENS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK C LOBANOFF MD (OWNER)
(763) 772-7173
Entity
Organization
Contact information
Practice address
6099 WAYZATA BLVD, ST LOUIS PARK, MN 55416
(877) 686-3937
Mailing address
6099 WAYZATA BLVD STE 100-120, ST LOUIS PARK, MN 55416-5538
(952) 204-5060
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
01/12/2023
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