NPI | 1518599562 |
---|---|
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 ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2020-02-07 |
Last Update Date | 2020-07-01 |