Organization
DR. L.R. MASCIARELLI & ASSOCIATES OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE RENEE MASCIARELLI O.D. (OWNER/OPTOMETRIST)
(701) 281-9393
Entity
Organization
Contact information
Practice address
4302 13TH AVE S, FARGO, ND 58103-3395
(701) 281-9393
Mailing address
4302 13TH AVE S, FARGO, ND 58103-3395
(701) 281-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490
ND
Other
Enumeration date
10/02/2007
Last updated
06/17/2008
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