Individual
DR. STEVEN L SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
422 LOUISIANA AVE, LIBBY, MT 59923
(406) 293-4136
(406) 293-2033
Mailing address
422 LOUISIANA AVE, LIBBY, MT 59923
(406) 293-4136
(406) 293-2033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
495
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481468
—
MT
05
—
0483522
—
MT
Enumeration date
11/14/2006
Last updated
08/17/2010
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