Individual
REENA ANN LEPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1225 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3347
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1616-649T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07759297
—
MS
05
—
2159861
—
LA
Enumeration date
08/09/2011
Last updated
08/16/2013
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