Lewis E Lisses O.D.

NPI 1053382994 - Optometrist - 152W00000X

NPI Details
NPI 1053382994
Gender Male
Enumeration Date 01/30/2006
Last Updated 07/02/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1018 WYOMING AVE
WYOMING PA, 18644-1331, US
Phone (570) 288-7471
Fax (570) 288-8142
Business Location
1018 WYOMING AVE
WYOMING PA, 18644-1331, US
Phone (570) 288-7471
Fax (570) 288-8142
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OEG000522
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According to our database, Dr. Lewis E Lisses O.D. NPI is 1053382994, taxonomy code is 152W00000X and license number is OEG000522, license state is located at Pennsylvania. Lewis E Lisses O.D. physically located at 1018 Wyoming Ave, Wyoming PA, 18644-1331. NPI Number Lewis E Lisses O.D. has the Individual type.

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1053382994 NPI number is provided on an as is basis without warranty of any kind. 1053382994 is maintained by the National Plan & Provider Enumeration System. The contents of Lewis E Lisses O.D. are for informational purposes only.