Tanner Lightbourne, OD
Optometrist in Libby, MT. Individual provider (NPI-1).
NPI number1164092425
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1164092425
- Entity type
- Individual (NPI-1)
- Name
- Tanner Lightbourne
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4229 | MT | Yes |
Practice location
610 California AveLibby, MT 59923-1902
Phone 406-293-6236
Mailing address
610 California AveLibby, MT 59923-1902
Phone 406-293-6236
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Other Optometrist providers in Libby, MT
- Kootenai Vision Centers PCNPI 1528251832
- Northwest Family Eye CareNPI 1407520562
- Patrick-Purdy INCNPI 1215066188
- Steven L Sorensen, ODNPI 1851463947
All 5 Optometrist providers in Libby · All 213 providers in Libby
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