DR. Lisa Frederickson, O.D.

NPI #1972696722 in Kenai, Alaska

Provider Information

NPI Number: 1972696722
Entity Type: Individual
Name: DR. Lisa Frederickson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 2, 2006
Last Updated: Oct 23, 2024

Practice Location

Address: 508 UPLAND ST
City: Kenai
State: Alaska
ZIP Code: 99611-8026
Phone: (907) 335-7305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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