Organization
LAUREN K HAVERLY LLC
Active
Other names
Prism Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HAVERLY OD (OWNER)
(952) 432-0680
Entity
Organization
Contact information
Practice address
272 SNELLING AVE S STE 300, SAINT PAUL, MN 55105-2045
(952) 393-2343
Mailing address
1969 JEFFERSON AVE, SAINT PAUL, MN 55105-1604
(952) 393-2343
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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