Individual
DR. ELLEN BETH LIEBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
421 PIONEER AVE STE B, WOODLAND, CA 95776-4948
(530) 661-0300
Mailing address
421 B PIONEER AVE, WOODLAND, CA 95776
(530) 661-0300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA 7260T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0072600
—
CA
Enumeration date
11/14/2006
Last updated
03/07/2023
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