Provider Demographics
NPI:1619231800
Name:LAHOUD, AARON THOMAS (OD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:THOMAS
Last Name:LAHOUD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5546 W BROADWAY AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55428-3551
Mailing Address - Country:US
Mailing Address - Phone:763-537-8896
Mailing Address - Fax:763-537-8549
Practice Address - Street 1:5546 W BROADWAY AVE STE 135
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55428-3551
Practice Address - Country:US
Practice Address - Phone:763-537-8896
Practice Address - Fax:763-537-8549
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3295152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist