| NPI | 1720059603 |
|---|---|
| Former Name | LISA S. MACDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 42312-20) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: WI 42312) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2010-08-23 |