AMANDA LALLENSACK, OD
Optometrist
Active
Individual
NPI: 1477178259
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 3700 (WI) |
Frequently Asked Questions
NPI 1477178259 is the National Provider Identifier for AMANDA LALLENSACK, OD, a Optometrist provider located in Crandon, WI. This NPI was enumerated on June 8, 2020.
AMANDA LALLENSACK, OD practices at 8201 MISH KO SWEN DR, Crandon, WI 54520.
Quick Facts
- NPI
- 1477178259
- Type
- Individual
- Enumerated
- Jun 8, 2020
- Last Updated
- Aug 17, 2021
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