Individual
LAUREN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
400 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9525
(763) 497-2020
Mailing address
4455 HIGHWAY 169 N, PLYMOUTH, MN 55442-2897
(763) 559-7358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3749
MN
Other
Enumeration date
08/01/2021
Last updated
08/31/2021
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