Individual
DR. ELIZABETH COURSON TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3221 SUMMIT SQUARE PL STE 200, LEXINGTON, KY 40509-2655
(859) 303-6464
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2058DT
KY
152W00000X
Optometrist
Primary
OEG002976
PA
Other
Enumeration date
09/18/2014
Last updated
02/11/2026
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