Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1994
NPI: 1821177692
Practice Locations (2)
LAKEVIEW CLINIC, LTD.
424 W HWY 5
WACONIA, MN 553871723
LAKEVIEW CLINIC, LTD.
424 W STATE HWY 5
WACONIA, MN 553871723
9524424461
Source: CMS National Downloadable File, September 2026.