Individual
DR. JACQUELINE G LADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
302 E PITMAN ST, O FALLON, MO 63366-2623
(636) 272-1444
Mailing address
302 E PITMAN ST, O FALLON, MO 63366-2623
(636) 272-1444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2013020891
MO
Other
Enumeration date
06/28/2013
Last updated
07/16/2013
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