| NPI | 1548559446 |
|---|---|
| Former Name | LISANNE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008884) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046008884) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-05-20 |