Lisa Marie Vivacqua, OD

NPI #1982335238 in Schaumburg, Illinois

Provider Information

NPI Number: 1982335238
Entity Type: Individual
Name: Lisa Marie Vivacqua, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 17, 2022
Last Updated: Jun 17, 2022

Practice Location

Address: 850 E GOLF RD
City: Schaumburg
State: Illinois
ZIP Code: 60173-4502
Phone: (847) 519-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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