| NPI | 1164791919 |
|---|---|
| Former Name | LEZLIE PEARL ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3407) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002535) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2024-01-29 |