Individual
DR. JENNIFER MAIZE LESSLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1370 REMOUNT ROAD, SUITE B, NORTH CHARLESTON, SC 29406
(843) 747-7663
(843) 747-7665
Mailing address
824 HIGH BATTERY CIR, MT PLEASANT, SC 29464-7881
(843) 881-1292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1131
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D11315
—
SC
Enumeration date
10/03/2006
Last updated
11/02/2011
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