Individual
DR. LISA A HERRYGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3820 N 27TH AVE STE 100, BOZEMAN, MT 59718-3234
(406) 587-1245
(406) 587-1092
Mailing address
3820 N 27TH AVE STE 100, BOZEMAN, MT 59718-3234
(406) 587-1245
(406) 587-1092
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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