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General NPI Number Information
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NPI Number | 1326667726
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Entity Type | Individual
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Provider Name | LEAH MACKENZIE SCHLUETER OD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 15655 STATE ROUTE 170 STE P
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9672
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Country | US
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Telephone | 330-385-3898
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Fax | 330-385-5772
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Provider Business Mailing Address
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Address Line | 309 W PARK AVE
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City | COLUMBIANA
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State | OH
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Zip | 44408-1241
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Country | US
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Telephone | 330-831-3646
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.006890
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License Number State | OH
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