Individual
DR. JEANNETTE LORRAINE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1106 WALNUT ST, OSKALOOSA, KS 66066-4203
(785) 863-2000
(785) 863-3333
Mailing address
1106 WALNUT ST, OSKALOOSA, KS 66066-4203
(785) 863-2000
(785) 863-3333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1446-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225072341
—
KS
01
—
410039156
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
03/22/2018
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