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Individual

STEPHEN LANCE EISENBARTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
403 NW LYMAN RD, TOPEKA, KS 66608-1969
(785) 235-6550
(785) 235-9668
Mailing address
403 NW LYMAN RD, TOPEKA, KS 66608-1969
(785) 235-6550
(785) 235-9668

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1835
KS

Other

Enumeration date
07/18/2009
Last updated
01/09/2014
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