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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY K LACONIC, OD

Active

MARY K LACONIC, OD is a Optometrist healthcare provider located in CRYSTAL, Minnesota. NPI 1316941362 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CRYSTAL, MN

Registration Details

NPI Number
1316941362
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2005 (21.181984009334 yrs)
Last Updated
Jun 29, 2011
License
1674 (MN)

Practice Information

Address
5200 DOUGLAS DR N
CRYSTAL, MN, 554293104
Browse MN providers · Browse ZIP 55429
Phone
7635373213
Fax
7635376732
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CRYSTAL, MN

Name Credential NPI
J SCOTT ENDRES OD 1205830254
JUSTIN MUSLAND O.D. 1588713010
SAMIRA F QAZI OD 1740513803
DR. AARON THOMAS LAHOUD O.D. 1619231800
CHASE ENDRES 1700263738
DR. LAUREN ELISABETH BRUEHL OD 1083106314
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.