Amy S Lahay OD

NPI 1063407476 - Optometrist - 152W00000X

NPI Details
NPI 1063407476
Gender Female
Enumeration Date 09/13/2005
Last Updated 05/23/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1550 MIDWAY PL
MENASHA WI, 54952-1165, US
Phone (920) 727-8280
Fax (920) 727-8295
Business Location
1550 MIDWAY PL
MENASHA WI, 54952-1165, US
Phone (920) 727-8280
Fax (920) 727-8295
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 2649
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According to our database, Amy S Lahay OD NPI is 1063407476, taxonomy code is 152W00000X and license number is 2649, license state is located at Wisconsin. Amy S Lahay OD physically located at 1550 Midway Pl, Menasha WI, 54952-1165. NPI Number Amy S Lahay OD has the Individual type.

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1063407476 NPI number is provided on an as is basis without warranty of any kind. 1063407476 is maintained by the National Plan & Provider Enumeration System. The contents of Amy S Lahay OD are for informational purposes only.