DR. Matthew J Lisenby, O.D.

NPI #1043516784 in Montrose, Colorado

Provider Information

NPI Number
1043516784
Entity Type
Individual
Name
DR. Matthew J Lisenby, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jan 27, 2011
Last Updated
Dec 29, 2020

Practice Location

Address
2770 WOODGATE RD
ZIP Code
81401-5466
Phone
(970) 249-2330

Specialties & Taxonomy Codes

Specialty
Optometrist

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