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Organization

MICHAEL LAMENSDORF MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LAMENSDORF MD (OWNER)
(941) 957-4987
Entity
Organization

Contact information

Practice address
1428 S TAMIAMI TRL, SARASOTA, FL 34239-2901
(941) 957-4978
(941) 955-7905
Mailing address
1428 S TAMIAMI TRL, SARASOTA, FL 34239-2901
(941) 957-4978
(941) 955-7905

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4238
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336138395
NPI
FL
Enumeration date
11/05/2007
Last updated
07/14/2010
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