Organization
LIFETIME VISION AND CONTACT LENS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAMONT MARK SPRAGUE OD (OPTOMETRIST/OWNER)
(815) 459-7110
Entity
Organization
Contact information
Practice address
300 MEMORIAL DR, SUITE 300, CRYSTAL LAKE, IL 60014-6278
(815) 459-7110
(815) 459-7138
Mailing address
300 MEMORIAL DR, SUITE 300, CRYSTAL LAKE, IL 60014-6278
(815) 459-7110
(815) 459-7138
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010544
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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