Individual
DR. JESSIE LALONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6705 E MCDOWELL RD, MESA, AZ 85215-1751
(480) 985-7400
(480) 396-6362
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 955-1000
(602) 508-4830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004904
MI
152W00000X
Optometrist
Primary
OPT-002542
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101209
—
AZ
Enumeration date
09/11/2015
Last updated
11/01/2021
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