| NPI | 1770121907 |
|---|---|
| Doing Business As | SANFORD HEALTH LAKE LORRAINE EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Sr. Executive Director 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |