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Individual

DR. LANDON LANCE LISKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5801 N 10TH ST, STE #200, MCALLEN, TX 78504-2610
(956) 992-9100
(956) 992-0410
Mailing address
5801 N 10TH ST, STE #200, MCALLEN, TX 78504-2610
(956) 992-9100
(956) 992-0410

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6227TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171477601
TX
Enumeration date
07/26/2005
Last updated
05/16/2011
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