Individual
LISA L LEISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 479-3937
Mailing address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 479-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036146967
IL
207W00000X
Ophthalmology Physician
Primary
10408387-1205
UT
207W00000X
Ophthalmology Physician
2013024668
MO
207W00000X
Ophthalmology Physician
MD214276
OR
Other
Enumeration date
04/25/2012
Last updated
02/06/2026
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