Lisa Eileen Glenn, O.D.

NPI #1487796330 in Pinedale, Wyoming

Provider Information

NPI Number: 1487796330
Entity Type: Individual
Name: Lisa Eileen Glenn, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 376 N. SUBLETTE
City: Pinedale
State: Wyoming
ZIP Code: 82941
Phone: (307) 367-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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