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Individual

LISA L LEISHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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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