Individual
DR. KEITH LEROY DEIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1700 S LINCOLN AVE, VAMC, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
300 SHEPHERD ST, JONESTOWN, PA 17038-9432
(717) 861-5696
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 000654
PA
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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