DR. Lisa Martin Wiedeman, O.D.

NPI #1710098066 in Neptune, New Jersey

Provider Information

NPI Number
1710098066
Entity Type
Individual
Name
DR. Lisa Martin Wiedeman, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Aug 31, 2006
Last Updated
Dec 9, 2010

Practice Location

Address
1809 CORLIES AVE
Address 2
SUITE 1
ZIP Code
07753-4801
Phone
(732) 774-5566

Specialties & Taxonomy Codes

Specialty
Optometrist

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