Lisa Marie Mackey, OD Valid NPI
Individual provider · Optometrist · O Fallon, MO
- NPI
- 1982693297
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- T03118 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-10-19
- Last updated
- 2025-10-20
Practice location
2681 Highway K
O Fallon, MO 63368-7865
(636) 978-5555