Jacqueline G Ladd, O.D. Valid NPI

Individual provider · Optometrist · O Fallon, MO

NPI

1053751537

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

2013020891 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2013-06-28

Last updated

2013-07-16