Most Relevant Information
Provider Data
| NPI Number: | 1003254590 |
| Provider Name: | LAUREN JORDAN OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 3405-35 |
Most Important Dates
| Enumeration Date: | 06/06/2013 |
| Last Updated: | 09/25/2018 |
Provider Practice Location
200 VILLAGE CENTER DR STE 300
NORTH OAKS
MN
551277088
Practice Location Phone/Fax
| Phone: | 6514821959 |
| Fax: | 6514821850 |
Provider Mailing Location
3480 BUNKER LAKE BLVD NW
STE 101
ANDOVER
MN
553043669
Provider Mailing Phone/Fax
| Phone: | 6514821959 |
| Fax: |