Individual
TARRA L VANDER LEEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1306 18TH ST, SUITE E, SPIRIT LAKE, IA 51360-1163
(712) 336-4401
(712) 336-4403
Mailing address
3135 SUNNER AVE, SPIRIT LAKE, IA 51360-7678
(712) 330-0276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02288
IA
Other
Enumeration date
10/17/2006
Last updated
12/23/2023
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