Individual
MARGE LYNNE LEBRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, CVRT
Contact information
Practice address
3262 CHURCH ST, STEVENS POINT, WI 54481-5321
(715) 344-4010
Mailing address
3441 MIRAGE CIRCLE, PLOVER, WI 54467
(715) 342-3907
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
5294
AZ
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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