| NPI | 1770152761 |
|---|---|
| Former Name | MARILYN MARIE LAMPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-07-20 |