LISA S KELLER OD INC

LITCHFIELD, IL
NPI1578889234
Entity TypeOrganization
Authorized ContactLISA KELLER
President
314-497-3042
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
(Licence: IL  046.010168)
Enumeration Date2010-04-20
Last Update Date2010-04-20
Business Address
LISA S KELLER OD INC
1205 W FERDON ST
LITCHFIELD, IL 62056-4454
Phone number: 217-324-5004
Mailing Address
LISA S KELLER OD INC
508 PATTON DR
TROY, IL 62294-3103
Phone number: 314-497-3042