Individual
LAUREN ELIZABETH DISTERHAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(952) 888-5800
(952) 567-6156
Mailing address
9801 DUPONT AVE S STE 200, BLOOMINGTON, MN 55431-3200
(952) 888-5800
(952) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4012
MN
Other
Enumeration date
06/20/2025
Last updated
05/04/2026
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