Individual
DR. LISA ANN MCKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1707 W 23RD ST, PANAMA CITY, FL 32405-2916
(850) 769-4747
Mailing address
4417 RAPTOR CIR, TYNDALL AFB, FL 32403-1063
(813) 777-1415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4506
FL
Other
Enumeration date
01/07/2008
Last updated
10/25/2016
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