Individual
LISA M TOVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
2204 S 5TH ST, LEESVILLE, LA 71446-5318
(337) 238-9819
Mailing address
122 COBB RD, LEESVILLE, LA 71446-6285
(337) 353-6139
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
245045
LA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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