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1285048322
LANCE ENGDAHL EYE CARE S.C.
MADISON, WI
NPI
1285048322
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Entity Type
Organization
Authorized Contact
LANCE EDWARD ENGDAHL
President
262-853-2664
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2711-35)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
LANCE ENGDAHL EYE CARE S.C.
6658 ODANA RD
MADISON, WI 53719-1012
Phone number: 608-829-3937
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Mailing Address
LANCE ENGDAHL EYE CARE S.C.
116 E LAKESIDE ST
MADISON, WI 53715-2028
Phone number: 262-853-2664
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