Mary K Laconic OD

  • 1316941362 NPI Number
  • |
  • Actived: 14 years ago
  • |
According to our database, NPI number for Mary K Laconic OD is 1316941362 and actived since Wednesday, June 8 2005. Mary K Laconic OD is an individual provider specializes in Optometrist, primary practice location is 5200 Douglas Dr N, Crystal, MN 55429. You can also contact Mary K Laconic OD via telephone number is (763) 537-3213. Provider NPI information was last updated on 06/29/2011.

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Overview of Mary K Laconic OD

  • NPI number: 1083251888
  • Provider type: Individual
  • Specialty: Optometrist
  • Gender: Female
  • Active since: 06/08/2005
  • Last updated: 06/29/2011

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 1674
  • License State: MN

Provider Mailing Address

  • Address: 5200 Douglas Dr N
    Crystal, MN 55429
  • Phone: 763-537-3213
  • Fax: 763-537-6732

Provider Practice Location

  • Address: 5200 Douglas Dr N
    Crystal, MN 55429
  • Phone: 763-537-3213
  • Fax: 763-537-6732

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 1674
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 749823300
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Mary K Laconic OD?
  • A: The npi number for Mary K Laconic OD is 1316941362.
  • Q: What are Mary K Laconic OD's specialties?
  • A: Mary K Laconic OD's specialties are Optometrist and different specialities.
  • Q: What is the medical license for Mary K Laconic OD?
  • A: The medical license number for Mary K Laconic OD is 1674 and issued in MN in USA.
  • Q: Where is Mary K Laconic OD practice location?
  • A: Mary K Laconic OD is practicing at 5200 Douglas Dr N, Crystal, MN 55429.
  • Q: How to contact Mary K Laconic OD?
  • A: You can contact Mary K Laconic OD via 763-537-3213.