Individual
DR. LISA MARIE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03118
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108397
BCBS
MO
01
—
255611
HEALTHLINK
MO
05
—
318596913
—
MO
Enumeration date
10/19/2005
Last updated
10/20/2025
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