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

AMANDA C LALLENSACK, OD

Active

AMANDA C LALLENSACK, OD is a Optometrist healthcare provider located in CRANDON, Wisconsin. NPI 1477178259 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CRANDON, WI

Registration Details

NPI Number
1477178259
Provider Type
Individual
Gender
Female
NPI Issued
Jun 8, 2020 (6.1549695304767 yrs)
Last Updated
Aug 17, 2021
License
3700 (WI)

Practice Information

Address
8201 MISH KO SWEN DR
CRANDON, WI, 545208631
Browse WI providers · Browse ZIP 54520
Phone
7154784300
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CRANDON, WI

Name Credential NPI
RENEE LYNN WALDEN OD 1437141579
DR. WILLIAM R PIERRE OD TPA 1114935095
WILLIAM DALE BECKER O.D. 1073613691
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.