Individual
KAREN LEE LEYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6575 CAHILL AVE, SUITE 101, INVER GROVE HEIGHTS, MN 55076-2061
(651) 451-1100
(651) 451-3939
Mailing address
6575 CAHILL AVE, SUITE 101, INVER GROVE HEIGHTS, MN 55076-2061
(651) 451-1100
(651) 451-3939
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493719800
—
MN
01
—
6C243EY
BLUE CROSS BLUE SHIELD
MN
01
—
C05047
MEDICARE
MN
Enumeration date
10/07/2008
Last updated
03/02/2010
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