Provider Demographics
NPI:1225363302
Name:LUNZMAN, KARA M (OD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:M
Last Name:LUNZMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 MOCCASIN DR
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5059
Mailing Address - Country:US
Mailing Address - Phone:605-225-4046
Mailing Address - Fax:605-225-9728
Practice Address - Street 1:508 MOCCASIN DR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5059
Practice Address - Country:US
Practice Address - Phone:605-225-4046
Practice Address - Fax:605-225-9728
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD682152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist