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Organization
LISA V. KELTNER, O.D., A PROFESSIONAL CORPORATION
Active
Organization
LISA V. KELTNER, O.D., A PROFESSIONAL CORPORATION
Active
Other names
Riverside Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KELTNER (CHIEF EXECUTIVE OFFICER)
(951) 784-2420
Entity
Organization
Contact information
Practice address
4515 CENTRAL AVE STE 101, RIVERSIDE, CA 92506-2374
(951) 784-2420
Mailing address
4515 CENTRAL AVE STE 101, RIVERSIDE, CA 92506-2374
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
08887
CA
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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