Flockencier, Laura L
Flockencier, Laura L is an sole proprietor health care provider with primary practice located at 1540 Humboldt Ave , West St Paul MN 55118-3417. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Flockencier, Laura L can be contacted via phone (651) 457-2020.Contact Information
Primary practice address
1540 Humboldt Ave
West St Paul MN 55118-3417
Phone: (651) 457-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2487 | Minnesota |
| Eye and Vision Services Providers / Optometrist | 152W00000X | T03276 | Missouri |
Profile Details
| NPI number | 1194929505 |
|---|---|
| LBN Legal business name | Flockencier, Laura L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Jul 30th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194929505 | NPPES |
| Minnesota | MEDICAID | 788214900 |
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