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LEE NELSON O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1093102089

Individual Registrant:
 LEE  NELSON O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13160 230TH ST N  SCANDIA, MN 55073-9553 US
Tel: 651-503-4838  Fax: --

Contact information for business:
13160 230TH ST N  SCANDIA, MN 55073-9553 US
Tel: 651-503-4838  Fax: --

Registration Information:
NPI: 1093102089
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
MN1822

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MN - Page 1



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