DR. LISA DURHAM, O.D.

Optometrist

Active Individual
NPI: 1629074620

Practice Address

54 THE LEGENDS PKWY STE 151
Eureka, MO 63025

Phone: (636) 938-7010

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2004017331 (MO)

Frequently Asked Questions

NPI 1629074620 is the National Provider Identifier for DR. LISA DURHAM, O.D., a Optometrist provider located in Eureka, MO. This NPI was enumerated on June 23, 2005.
DR. LISA DURHAM, O.D. practices at 54 THE LEGENDS PKWY STE 151, Eureka, MO 63025.

Quick Facts

NPI
1629074620
Type
Individual
Enumerated
Jun 23, 2005
Last Updated
Nov 18, 2014

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