Lacey B Brenner, OD

NPI #1508162710 in Castle Pines, Colorado

Provider Information

NPI Number: 1508162710
Entity Type: Individual
Name: Lacey B Brenner, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 4, 2011
Last Updated: May 28, 2015

Practice Location

Address: 250 MAX DR
Address 2: SUITE 101
City: Castle Pines
State: Colorado
ZIP Code: 80108-9517
Phone: (303) 688-5066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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