Lamont Mark Sprague in Crystal Lake - Corneal And Contact Management
Lamont Mark Sprague - NPI 1215009832
Lamont Mark Sprague is a Corneal And Contact Management in Crystal Lake, Illinois. Lamont Mark Sprague practices all healthcare services and medical treatments related to Corneal And Contact Management. The NPI Number for Lamont Mark Sprague is 1215009832. The last update date is 2010-02-05.
Lamont Mark Sprague's current location address is 300 Memorial Dr, Crystal Lake, Illinois. You can contact this provider via phone number 8154597110 and fax number 8154597138. The mailing address for Lamont Mark Sprague is 300 Memorial Dr, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lamont Mark Sprague |
|---|---|
| Address | 300 Memorial Dr, Crystal Lake, Illinois |
| Phone Number | 8154597110 |
| Fax Number | 8154597138 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1215009832 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2010-02-05 |
Provider Mailing Address Detail
| Address | 300 Memorial Dr |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600146278 |
| Phone Number | 8154597110 |
| Fax Number | 8154597138 |
Provider's Primary Taxonomy Detail
| Speciality | Corneal And Contact Management |
|---|---|
| Taxonomy | 152Wc0802X |
| Licence No | 46007026 |
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What is the unique 10-digit identifier code issued to Lamont Mark Sprague by the Centers for Medicare & Medicaid Services?
The Lamont Mark Sprague has been assigned the NPI (National Provider Identifier) 1215009832 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Lamont Mark Sprague is located?
The Lamont Mark Sprague is situated at the following address: 300 Memorial Dr, Crystal Lake, IL, 600146278.
What is Lamont Mark Sprague's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lamont Mark Sprague's specialized field of practice is Corneal And Contact Management, and the corresponding taxonomy code that categorizes this area of specialization is 152Wc0802X.
On what date did the Lamont Mark Sprague receive its 1215009832 assignment from the Centers for Medicare & Medicaid Services?
The Lamont Mark Sprague was assigned its 1215009832 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the details pertaining to Lamont Mark Sprague last refreshed?
The information related to the Lamont Mark Sprague, including its address, specialty, and other relevant details, was last updated on 2010-02-05.
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