| NPI | 1942500350 |
|---|---|
| Former Legal Business Name | LISA TUNG OD INC |
| Entity Type | Organization |
| Authorized Contact | LISA TUNG President 708-614-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046009552) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2019-02-14 |