NPI 1346592680

Lucas K Genereux, OD

Practitioner Optometrist Bemidji, MN

Practice location

Address: 1611 Anne St NW, Bemidji, MN 56601-5114
Phone: (218) 333-2020

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3425 (MN)

Other Optometrist providers in Minnesota →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1346592680
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2012
Record last updated: 7 Jun 2016

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.