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Individual

DR. MARY KIRSCH LAMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
823 9TH ST, HIGHLAND, IL 62249-1521
(618) 654-9848
(618) 654-5200
Mailing address
823 9TH ST, HIGHLAND, IL 62249-1521
(618) 654-9848
(618) 654-5200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008547
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046008547 1
IL
Enumeration date
06/17/2005
Last updated
01/30/2014
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