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1497728398
MICHAEL S. LACKMAN
EUGENE, OR
NPI
1497728398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 1856ATI)
Enumeration Date
2006-02-10
Last Update Date
2007-10-10
Business Address
Dr. MICHAEL S. LACKMAN O.D.
65 DIVISION AVE SUITE E
EUGENE, OR 97404-2485
Phone number: 541-689-1115
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Mailing Address
Dr. MICHAEL S. LACKMAN O.D.
65 DIVISION AVE SUITE E
EUGENE, OR 97404-2485
Phone number: 541-689-1115
Copy
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