Individual
DR. LISA MARIA KOWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
330 E MAIN ST, BARRINGTON, IL 60010
(847) 381-5313
(847) 381-5468
Mailing address
330 E MAIN ST, BARRINGTON, IL 60010-3203
(847) 381-5313
(847) 381-5468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008020
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
794072001
MEDICARE TYPE UNSPECIFIED
IL
01
—
798090001
MEDICARE TYPE UNSPECIFIED
IL
Enumeration date
02/09/2007
Last updated
08/22/2018
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