Individual
MRS. MARY LOU GEIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDO
Contact information
Practice address
490 MAIN ST, MELROSE, MA 02176-3841
(781) 665-8828
(781) 665-8828
Mailing address
490 MAIN ST, MELROSE, MA 02176-3841
(781) 665-8828
(781) 665-8828
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5510
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110074818/A
—
MA
Enumeration date
07/17/2007
Last updated
09/08/2009
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