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LYNETTE ROSE CATAPANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD PC

Contact information

Practice address
12 BRIDGE SQ, STE 101, ANOKA, MN 55303-2463
(320) 558-9403
(320) 558-4583
Mailing address
PO BOX 275, 814 CLEARWATER CTR, CLEARWATER, MN 55320
(320) 558-9403
(320) 558-4583

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2281
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0730002
PREFERRED ONE
MN
01
1309020001
DMERC
MN
01
2211986
MEDICA
MN
05
682225800
MN
01
73D83VR
BCBS
MN
01
75D85CL
BCBS
MN
Enumeration date
08/02/2005
Last updated
05/25/2021
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