| NPI | 1720068844 |
|---|---|
| Former Name | LISA MARIE HAMMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 11886T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00004121) |
| 152W00000X Optometrist (Licence: OR 3197ATI) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-06-26 |