Lisa R Kanfoush Od

NPI #1578032769 in Aliquippa, Pennsylvania

Provider Information

NPI Number: 1578032769
Entity Type: Organization
Organization Name: Lisa R Kanfoush Od
Primary Specialty: Optometrist
Enumeration Date: Nov 16, 2018
Last Updated: Nov 16, 2018

Practice Location

Address: 131 PLEASANT DR STE 4U
City: Aliquippa
State: Pennsylvania
ZIP Code: 15001-1300
Phone: (724) 622-6467

Authorized Official

Name: DR. LISA RAE KANFOUSH, OD
Title: OWNER
Phone: (724) 378-4457

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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