| NPI | 1164448627 |
|---|---|
| Doing Business As | LAKESIDE FAMILY EYE CARE |
| Entity Type | Organization |
| Authorized Contact | LISA ANNE DAWSON-CLAUSEN Owner/Optometrist 952-447-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 0001425) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-12-08 |