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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LESLIE R MASCIARELLI KISCH, OD

Active

DR. LESLIE R MASCIARELLI KISCH, OD is a Optometrist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1699876417 is currently active in the NPPES registry. Verify at CMS.

Optometrist · DETROIT LAKES, MN

Registration Details

NPI Number
1699876417
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2006 (19.857444234369 yrs)
Last Updated
Jul 8, 2007
Licenses
2319 (MN)
490 (ND)

Practice Information

Address
918 WASHINGTON AVE
OPTICAL EYEDEAS
DETROIT LAKES, MN, 56501
Browse MN providers · Browse ZIP 56501
Phone
2188478021
Fax
2188469552
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in DETROIT LAKES, MN

Name Credential NPI
DALE K HOFFMANN O.D. 1396745550
JOY M QUITBERG OD 1477583466
BRENDAN S KELLY O.D. 1689873275
DR. GINA HANSEN O.D. 1376852459
ALEXANDER EARL MOSES 1063797116
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.