Tanner Lightbourne, OD

NPI #1164092425 in Libby, Montana

Provider Information

NPI Number: 1164092425
Entity Type: Individual
Name: Tanner Lightbourne, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 29, 2021
Last Updated: Jul 12, 2021

Practice Location

Address: 610 CALIFORNIA AVE
City: Libby
State: Montana
ZIP Code: 59923-1902
Phone: (406) 293-6236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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