Individual
MELITA LYNNETTE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOM
Contact information
Practice address
2910 S RESERVE ST STE B, MISSOULA, MT 59801-7677
(406) 552-1299
Mailing address
2910 S RESERVE ST STE B, MISSOULA, MT 59801-7677
(406) 552-1299
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
807452
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087452
AMERICAN BOARD OF OPTICIANRY
—
Enumeration date
02/12/2018
Last updated
08/31/2024
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