NPI | 1184673824 |
---|---|
Former Name | LEANE LIPINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA 0EG001181) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA 0EG001181) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2009-09-10 |