| 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 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-07-01 |