Individual
NATHAN THOMAS LEBSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3220 N RESERVE ST, MISSOULA, MT 59808-1556
(406) 542-0191
Mailing address
PO BOX 585, FRENCHTOWN, MT 59834-0585
(406) 239-1523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2316
MT
Other
Enumeration date
10/10/2012
Last updated
05/28/2015
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