Individual
MR. JEFFREY TODD LEBSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3220 NORTH RESERVE ST., MISSOULA, MT 59808
(406) 542-0191
Mailing address
15940 SEMINOLE DR., PO BOX 585, FRENCHTOWN, MT 59834-0585
(406) 626-0501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
606
MT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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