Lisa Leader Shero OD

NPI 1023096393 - Optometrist - 152W00000X

NPI Details
NPI 1023096393
Gender Female
Enumeration Date 01/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2200 BERGQUIST DR
STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND AFB TX, 78236-5300, US
Phone (210) 292-2010
Fax
Business Location
2448 WOODBRIDGE WAY
SCHERTZ TX, 78154-3632, US
Phone (210) 945-2938
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Texas
License Number 4112TG
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According to our database, Dr. Lisa Leader Shero OD NPI is 1023096393, taxonomy code is 152W00000X and license number is 4112TG, license state is located at Texas. Lisa Leader Shero OD physically located at 2200 Bergquist Dr, Lackland Afb TX, 78236-5300. NPI Number Lisa Leader Shero OD has the Individual type.

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1023096393 NPI number is provided on an as is basis without warranty of any kind. 1023096393 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Leader Shero OD are for informational purposes only.