| Doctor Name: | MARIE LULETTE PINTO FERMIL |
| NPI Number: | 1063728277 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 126 Missouri Ave Box 1263 Fort Leonard Wood, MO - 654738952 |
| Business Phone Number: | 5735960048 |
| Business Fax Number: | |
| Mailing Address: | 1902 Shay St, Unit 9211 FORT LEONARD WOOD |
| State: | MO |
| Postal Code: | 654738042 |
| Phone Number: | 9259783248 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2010 |
| NPI Last Update Date: | 08/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |