DR. Lisa L Wilson, OD

NPI #1225049349 in Homewood, Illinois

Provider Information

NPI Number: 1225049349
Entity Type: Individual
Name: DR. Lisa L Wilson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 11, 2006
Last Updated: Sep 19, 2007

Practice Location

Address: 2156 W 183RD ST
City: Homewood
State: Illinois
ZIP Code: 60430
Phone: (708) 957-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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