Search › Minnesota › 152W00000X
Leslie Masciarelli Kisch, OD
NPI 1699876417 · on the registry since 2006
Practice
- Address
- 918 Washington Ave
Optical Eyedeas
Detroit Lakes, MN 56501 - Phone
- (218) 847-8021
- Fax
- (218) 846-9552
- Organisation at this address
- Richard N Kittelson
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- MN, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota