MARY LACONIC, OD

Optometrist

Active Individual
NPI: 1316941362

Practice Address

5200 DOUGLAS DR N
Crystal, MN 55429

Phone: (763) 537-3213

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 1674 (MN)

Frequently Asked Questions

NPI 1316941362 is the National Provider Identifier for MARY LACONIC, OD, a Optometrist provider located in Crystal, MN. This NPI was enumerated on June 8, 2005.
MARY LACONIC, OD practices at 5200 DOUGLAS DR N, Crystal, MN 55429.

Quick Facts

NPI
1316941362
Type
Individual
Enumerated
Jun 8, 2005
Last Updated
Jun 29, 2011

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