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Lost Lake Optical Company
Clinic/Center in Mound, Minnesota
NPI 1003434622

Lost Lake Optical Company is a Clinic/Center based in Mound, MN. Lost Lake Optical Company practices in Mound, MN. The NPI Number for Lost Lake Optical Company is 1003434622 and holds a License No. (Minnesota).

The current practice location address for Lost Lake Optical Company is 5240 Shady Island Cir, Mound, MN and can be reached out via phone at 612-670-8887 and via fax at 952-474-1933.

Location: 5240 Shady Island Cir, Mound, MN, 55364-9222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003434622
Provider Name
Lost Lake Optical Company
Credential
Provider Entity Type
Organization
Address
5240 Shady Island Cir, Mound, MN, 55364-9222
Phone Number
612-670-8887
Fax Number
952-474-1933
Provider Enumeration Date
07/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5240 Shady Island Cir
City
Mound
State
Minnesota
Zip
55364-9222
Phone Number
612-670-8887
Fax Number
952-474-1933
person
Provider Business Mailing Address Details
Address
5240 Shady Island Cir
City
Mound
State
Minnesota
Zip
55364-9222
Phone Number
612-670-8887
Fax Number
952-474-1933
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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