Individual
LAURA KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2865 S LINCOLN RD, MT PLEASANT, MI 48858-9085
(989) 773-7747
Mailing address
1321 PINE AVE, ALMA, MI 48801-1242
(989) 463-1139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005441
MI
Other
Enumeration date
06/24/2020
Last updated
12/02/2020
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