MS. Teresa Lynn Lisburg, OPTICIAN
NPI #1770833675 in Fargo, North Dakota
Provider Information
- NPI Number
- 1770833675
- Entity Type
- Individual
- Name
- MS. Teresa Lynn Lisburg, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Sep 18, 2012
- Last Updated
- Sep 18, 2012
Practice Location
- Address
- 1404 33RD ST SW
- Address 2
- SUITE 1
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-3482
- Phone
- (701) 212-0758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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