Jeffrey Todd Lebsock O.D.

NPI 1356492078 - Optometrist - 152W00000X

NPI Details
NPI 1356492078
Gender Male
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3220 NORTH RESERVE ST.
MISSOULA MT, 59808, US
Phone (406) 542-0191
Fax
Business Location
15940 SEMINOLE DR.
PO BOX 585
FRENCHTOWN MT, 59834-0585, US
Phone (406) 626-0501
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Montana
License Number 606
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According to our database, Mr. Jeffrey Todd Lebsock O.D. NPI is 1356492078, taxonomy code is 152W00000X and license number is 606, license state is located at Montana. Jeffrey Todd Lebsock O.D. physically located at 3220 North Reserve St., Missoula MT, 59808. NPI Number Jeffrey Todd Lebsock O.D. has the Individual type.

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1356492078 NPI number is provided on an as is basis without warranty of any kind. 1356492078 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Todd Lebsock O.D. are for informational purposes only.