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Individual

REENA ANN LEPINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

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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