LAWRENCE E ADDISON JR.

SHOPKO STORES OPERATING CO LLC

Dr LAWRENCE E ADDISON JR. is a male medical professional, specializing in Optometry. He graduated in 2010 from University Of Alabama School Of Medicine.

Contact

SHOPKO STORES OPERATING CO LLC

125 MAIN ST
HUTCHINSON
MN
553502654

Tel: 3205874945

LAWRENCE E ADDISON JR. Information

Npi 1760794697
Pac Id 9335336346
Professional Enrollment Id I20140212000810
Last Name ADDISON
First Name LAWRENCE
Middle Name E
Suffix JR.
Gender M
Credential
Medical School Name UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year 2010
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SHOPKO STORES OPERATING CO LLC
Group Practice Pac Id 0749292639
Number Of Group Practice Members 124
Line 1 Street Address 125 MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HUTCHINSON
State MN
Zip Code 553502654
Phone Number 3205874945
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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