Provider Demographics
NPI:1235708678
Name:LAMPRECHT, MOLLY (OD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:LAMPRECHT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:HUCK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2533 WOODSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63114-5436
Mailing Address - Country:US
Mailing Address - Phone:314-423-3874
Mailing Address - Fax:888-423-0074
Practice Address - Street 1:1529 S OLD HIGHWAY 94 STE 120
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3707
Practice Address - Country:US
Practice Address - Phone:636-949-2900
Practice Address - Fax:866-636-1311
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021022446152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist