NPI | 1164069506 |
---|---|
Doing Business As | SANFORD HEALTH LAKE LORRAINE EYE CLINIC |
Entity Type | Organization |
Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2019-12-04 |
Last Update Date | 2020-06-29 |