Individual
DR. LEILANI MICHELLE PHILLIPS-BORSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2135
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5178222
CIGNA
CO
01
—
805234
MEDICARE GROUP
CO
05
—
82677824
—
CO
01
—
920370
BLOCK
CO
01
—
CO2135
EYEMED
CO
Enumeration date
06/24/2005
Last updated
01/09/2009
Update your record
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