person
Mrs. Rebecca Jane Lais, OPT
Optician in Joplin, Missouri
NPI 1467493502

Rebecca Jane Lais is a Optician based in Joplin, MO and is specialized in Optician. Rebecca Jane Lais practices in Joplin, MO and has the professional credentials of OPT. The NPI Number for Rebecca Jane Lais is 1467493502 and holds a License No. N/A (Missouri).

The current practice location address for Rebecca Jane Lais is 2632 Cunningham Ave, Joplin, MO and can be reached out via phone at 417-623-3448 and via fax at 417-623-3448.

Location: 2632 Cunningham Ave, Joplin, MO, 64804-1542
person
Provider Profile Details
NPI Number
1467493502
Provider Name
Rebecca Jane Lais
Credential
OPT
Provider Entity Type
Individual
Gender
Female
Address
2632 Cunningham Ave, Joplin, MO, 64804-1542
Phone Number
417-623-3448
Fax Number
417-623-3448
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
320412703 05 MO
institution
Provider Business Practice Location Address Details
Address
2632 Cunningham Ave
City
State
Zip
64804-1542
Phone Number
417-623-3448
Fax Number
417-623-3448
person
Provider Business Mailing Address Details
Address
2632 Cunningham Ave
City
State
Zip
64804-1542
Phone Number
417-623-3448
Fax Number
417-623-3448
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
N/A (Missouri)
Definition
Definition to come...
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