Lisa Jo Holtman

NPI #1710407622 in Woodbury, Minnesota

Provider Information

NPI Number: 1710407622
Entity Type: Individual
Name: Lisa Jo Holtman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jun 21, 2017
Last Updated: Mar 19, 2021

Practice Location

Address: 755 BIELENBERG DR STE 103
City: Woodbury
State: Minnesota
ZIP Code: 55125-4443
Phone: (651) 504-5901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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