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Individual

DR. LISA ANN O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3408 OLSEN BLVD, AMARILLO, TX 79109-3017
(806) 355-5633
(806) 355-9133
Mailing address
3408 OLSEN BLVD, AMARILLO, TX 79109-3017
(806) 355-5633
(806) 355-9133

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5815TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120621100
FIRSTCARE/SOUTHWEST
TX
01
80240Q
BCBS
TX
Enumeration date
07/05/2006
Last updated
09/20/2016
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