Organization
LANDER VISION SOURCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNY C LANCASTER OD (OWNER)
(307) 389-7722
Entity
Organization
Contact information
Practice address
556 MAIN ST, LANDER, WY 82520-3032
(307) 332-2020
(307) 332-5718
Mailing address
556 MAIN ST, LANDER, WY 82520-3032
(307) 332-2020
(307) 332-5718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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