Individual
DR. LESA MUELLER KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02815
MO
152WP0200X
Pediatric Optometrist
T02815
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770545022
—
MO
05
—
312898638
—
MO
Enumeration date
04/03/2006
Last updated
10/02/2014
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