Individual
DR. MARIE C LETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2801 MEMORIAL PKWY SW, SUITE #193, HUNTSVILLE, AL 35801-6519
(256) 534-8423
(256) 534-8511
Mailing address
2801 MEMORIAL PKWY SW, SUITE #193, HUNTSVILLE, AL 35801-6519
(256) 534-8423
(256) 534-8511
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-863-TA-404
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527060
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
09/28/2006
Last updated
07/08/2007
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