LISA PHAM

FORT WAYNE, IN
NPI1144881491
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18004252A)
Enumeration Date2019-06-27
Last Update Date2020-12-30
Business Address
LISA PHAM OD
3905 N ANTHONY BLVD
FORT WAYNE, IN 46805-2233
Phone number: 260-432-8409
Mailing Address
LISA PHAM OD
1530 SPENSER CV
FORT WAYNE, IN 46845-2365
Phone number: 260-579-2014
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