Individual
MR. BRYAN DAVID LORENZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4161 2ND ST S, SHOPKO OPTICAL, SAINT CLOUD, MN 56301-3761
(320) 253-5994
(320) 253-5790
Mailing address
4161 2ND ST S, SHOPKO OPTICAL, SAINT CLOUD, MN 56301-3761
(320) 253-5994
(320) 253-5790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2694
MN
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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