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Individual

DR. LISA A HERRYGERS

Active
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Individual

DR. LISA A HERRYGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10344
MT
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
10344
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0063835
MT
01
95055
BCBS
MT
Enumeration date
10/12/2005
Last updated
10/24/2024
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