NPI 1013060409

Lynn Alan Sulerud, OD

Practitioner Optometrist Blaine, MN

Practice location

Address: 12170 Aberdeen St NE, Blaine, MN 55449-4716
Phone: (763) 757-7000
Fax: (763) 757-3328

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1698 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1013060409
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2007
Record last updated: 27 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.