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Individual

DR. LAWRENCE JEHLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
54 THE LEGENDS PKWY STE 151, EUREKA, MO 63025-3803
(636) 938-7010
(636) 938-7141
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
T02356
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410029118
RAILROAD MEDICARE
MO
Enumeration date
06/24/2005
Last updated
10/02/2014
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