Lisa Fanciullo, O.D.
NPI #1700998671 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1700998671
- Entity Type
- Individual
- Name
- Lisa Fanciullo, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1400 VFW PKWY
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132-4927
- Phone
- (617) 323-7700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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