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Individual

LANE C ROBESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1400 HOMER RD, WINONA, MN 55987-6044
(507) 454-4092
(507) 454-5384
Mailing address
1400 HOMER RD, WINONA, MN 55987-6044
(507) 454-4092
(507) 454-5384

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2057
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70739RO
BCBS
MN
05
737823800
MN
01
HP38929
HEALTH PARTNERS
MN
Enumeration date
03/03/2006
Last updated
01/06/2014
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