LANCE ENGDAHL

MILWAUKEE, WI
NPI1689730681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  2711-035)
Enumeration Date2006-12-28
Last Update Date2011-10-28
Business Address
-- LANCE ENGDAHL OD
7425 W. APPLETON AVENUE
MILWAUKEE, WI 53216
Phone number: 414-464-5440
Mailing Address
-- LANCE ENGDAHL OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6663
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