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JANE E LINVILLE OD
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1124135736
Individual Registrant: JANE E LINVILLE OD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
112B MAIN ST S PIERZ, MN 56364-4400 US
Tel: (32-0) -468-2020 Fax: 320-468-1111
Tel: (32-0) -468-2020 Fax: 320-468-1111
Contact information for business:
112B MAIN ST S PO BOX 202 PIERZ, MN 56364-4400 US
Tel: (32-0) -468-2020 Fax: 320-468-1111
Tel: (32-0) -468-2020 Fax: 320-468-1111
Registration Information:
NPI: 1124135736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | MN | 2278 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
