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1629074620
LISA DURHAM
EUREKA, MO
NPI
1629074620
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Former Name
LISA SCHELLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2004017331)
Enumeration Date
2005-06-23
Last Update Date
2014-11-18
Business Address
Dr. LISA DURHAM O.D.
54 THE LEGENDS PKWY STE 151
EUREKA, MO 63025-3803
Phone number: 636-938-7010
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Mailing Address
Dr. LISA DURHAM O.D.
40 E NORTH ST
EUREKA, MO 63025-1205
Phone number: 636-200-4393
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