Individual
ANNA KATHERINE LANSDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 WILLOWBROOK DR, SALTILLO, MS 38866-6895
(662) 869-1779
Mailing address
122 WILLOWBROOK DR, SALTILLO, MS 38866-6895
(662) 869-1779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1033
MS
Other
Enumeration date
07/07/2021
Last updated
08/10/2022
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