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Individual

LAUREN SCHWALB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
1000 DES PERES RD STE 105, SAINT LOUIS, MO 63131-2062
(314) 628-9100
(844) 235-0998
Mailing address
1000 DES PERES RD STE 105, SAINT LOUIS, MO 63131-2062
(314) 628-9100
(844) 235-0998

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1952
SC
152W00000X
Optometrist
Primary
34557
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952
STATE LICENSE
SC
Enumeration date
07/27/2016
Last updated
12/21/2023
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