Most Relevant Information
Provider Data
| NPI Number: | 1003803677 |
| Provider Name: | LISA ANNE DAWSON-CLAUSEN O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 2731 |
Most Important Dates
| Enumeration Date: | 09/29/2005 |
| Last Updated: | 03/12/2020 |
Provider Practice Location
16250 DULUTH AVE SE STE 100
PRIOR LAKE
MN
553722883
Practice Location Phone/Fax
| Phone: | 9524472020 |
| Fax: | 9524472322 |
Provider Mailing Location
16250 DULUTH AVE SE STE 100
PRIOR LAKE
MN
553722883
Provider Mailing Phone/Fax
| Phone: | 9524472020 |
| Fax: | 9524472322 |