Individual
CORINNE LAURA LIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.C.O.
Contact information
Practice address
2821 N BALLAS RD STE C30, SAINT LOUIS, MO 63131-2393
(314) 567-7585
(314) 567-7083
Mailing address
2821 N BALLAS RD STE C30, SAINT LOUIS, MO 63131-2393
(314) 567-7585
(314) 567-7083
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
09-318-21
MO
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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