DR. Lewis E Lisses, O.D.

NPI #1053382994 in Wyoming, Pennsylvania

Provider Information

NPI Number: 1053382994
Entity Type: Individual
Name: DR. Lewis E Lisses, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 30, 2006
Last Updated: Jul 2, 2012

Practice Location

Address: 1018 WYOMING AVE
City: Wyoming
State: Pennsylvania
ZIP Code: 18644-1331
Phone: (570) 288-7471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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