Lauren K Haverly LLC
Optometrist in Saint Paul, MN. Organization (NPI-2).
NPI number1982247870
StatusActive
Last updated in NPPESOct 23, 2019
Details
- NPI
- 1982247870
- Entity type
- Organization (NPI-2)
- Legal business name
- Lauren K Haverly LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2019
- Last updated
- Oct 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Prism Eyecare (Doing Business As)
Practice location
272 Snelling Ave S Ste 300Saint Paul, MN 55105-2045
Phone 952-393-2343
Mailing address
1969 Jefferson AveSaint Paul, MN 55105-1604
Phone 952-393-2343
Authorized official
Lauren Haverly
Owner
9524320680
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