DR. Lisa L. Porter, O.D.
NPI #1215962915 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1215962915
- Entity Type
- Individual
- Name
- DR. Lisa L. Porter, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Nov 11, 2011
Practice Location
- Address
- 1480 E LINCOLN RD STE B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-2128
- Phone
- (208) 525-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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