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Lee R Jacobson
Eyewear Supplier in Frederic, Wisconsin
NPI 1720209075

Lee R Jacobson is a Eyewear Supplier based in Frederic, WI. Lee R Jacobson practices in Frederic, WI. The NPI Number for Lee R Jacobson is 1720209075 and holds a License No. (Wisconsin).

The current practice location address for Lee R Jacobson is 108 Oak St E, Frederic, WI and can be reached out via phone at 715-327-8239 and via fax at 715-327-8252.

Location: 108 Oak St E, Frederic, WI, 54837-0630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720209075
Provider Name
Lee R Jacobson
Credential
Provider Entity Type
Organization
Address
108 Oak St E, Frederic, WI, 54837-0630
Phone Number
715-327-8239
Fax Number
715-327-8252
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 Oak St E
City
Frederic
State
Wisconsin
Zip
54837-9574
Phone Number
715-327-8239
Fax Number
715-327-8252
person
Provider Business Mailing Address Details
Address
108 Oak St E
City
Frederic
State
Wisconsin
Zip
54837-9574
Phone Number
715-327-8239
Fax Number
715-327-8252
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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