Organization
LISA B DIBLER OD LLC
Active
Organization
LISA B DIBLER OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA BERRY DIBLER O.D. (OPTOMETRIST/OWNER)
(636) 527-8877
Entity
Organization
Contact information
Practice address
171 LAMP AND LANTERN VILLAGE, TOWN AND COUNTRY, MO 63017-8208
(636) 527-8877
(636) 527-8897
Mailing address
171 LAMP AND LANTERN VILLAGE, TOWN AND COUNTRY, MO 63017-8208
(636) 527-8877
(636) 527-8897
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
T03159
MO
Other
Enumeration date
03/25/2008
Last updated
03/26/2008
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