Fischer Costello, Londa Lea
Fischer Costello, Londa Lea is an individual health care provider with primary practice located at 13334 Bass Lake Rd , Maple Grove MN 55311-4540. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fischer Costello, Londa Lea can be contacted via phone (763) 496-1625.Contact Information
Primary practice address
13334 Bass Lake Rd
Maple Grove MN 55311-4540
Phone: (763) 496-1625
Fax: (763) 496-1071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3085 | Minnesota |
Profile Details
| NPI number | 1942401039 |
|---|---|
| LBN Legal business name | Fischer Costello, Londa Lea |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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