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Individual

DR. LISA MARIE JEZIORNY KEROUAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
372 LARRY POWER RD STE A, BOURBONNAIS, IL 60914-5190
(815) 216-4600
(815) 216-4626
Mailing address
372 LARRY POWER RD STE A, BOURBONNAIS, IL 60914-5190
(815) 216-4600
(815) 216-4626

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010449
IL

Other

Enumeration date
07/01/2011
Last updated
04/23/2025
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