Individual
DR. VERNON BRUCE LOVDOKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12700 LAKE BOULEVARD, LINDSTROM, MN 55045
(651) 257-2419
(651) 257-2419
Mailing address
11501 JEFFERSON ST NORTH EAST, BLAINE, MN 55434
(612) 867-1431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2142
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628823500
—
MN
Enumeration date
02/13/2007
Last updated
08/15/2012
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