| Lauren K Haverly Llc | |
|
272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2045 | |
| (952) 393-2343 | |
| Not Available |
| Full Name | Lauren K Haverly Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 272 Snelling Ave S Ste 300, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982247870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Lauren K Haverly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255745782 PECOS PAC ID: 5294953709 Enrollment ID: I20140826000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren K Haverly Llc 1969 Jefferson Ave, Saint Paul, MN 55105-1604 Ph: (952) 393-2343 | Lauren K Haverly Llc 272 Snelling Ave S Ste 300, Saint Paul, MN 55105-2045 Ph: (952) 393-2343 |
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