Individual
LORI KAY EGEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DISPENSING OPTICIAN
Contact information
Practice address
511 6TH ST, BROOKINGS, SD 57006-1436
(605) 692-5600
(605) 692-5660
Mailing address
511 6TH ST, BROOKINGS, SD 57006-1436
(605) 692-5600
(605) 692-5660
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
09/04/2015
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