DR. Lisa G. Wallace-Davis, OD

NPI #1356373914 in Hampton, Virginia

Provider Information

NPI Number: 1356373914
Entity Type: Individual
Name: DR. Lisa G. Wallace-Davis, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 6, 2006
Last Updated: Dec 15, 2011

Practice Location

Address: 1134 BIG BETHEL RD
City: Hampton
State: Virginia
ZIP Code: 23666-1906
Phone: (757) 827-6612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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