Individual
STEPHANIE LYNN CULLINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3122 S GRAND, ST. LOUIS, MO 63118
(314) 450-7313
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2013023063
MO
152W00000X
Optometrist
3051
TN
152W00000X
Optometrist
862
MS
Other
Enumeration date
07/07/2012
Last updated
11/19/2014
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