DR. Lisa Marie Jeziorny Kerouac, O.D.

NPI #1588951222 in Bourbonnais, Illinois

Provider Information

NPI Number: 1588951222
Entity Type: Individual
Name: DR. Lisa Marie Jeziorny Kerouac, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 1, 2011
Last Updated: Apr 23, 2025

Practice Location

Address: 372 LARRY POWER RD STE A
City: Bourbonnais
State: Illinois
ZIP Code: 60914-5190
Phone: (815) 216-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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