DR. Wallissa Lancelin, O.D.
NPI #1093269284 in Fort Worth, Texas
Provider Information
- NPI Number
- 1093269284
- Entity Type
- Individual
- Name
- DR. Wallissa Lancelin, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Aug 5, 2016
- Last Updated
- Oct 22, 2023
Practice Location
- Address
- 5700 OVERTON RIDGE BLVD
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76132-3220
- Phone
- (817) 668-6852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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