Individual
STEPHANIE DIANE ATTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1355 E LEHMAN ST, LEBANON, PA 17046-8337
(717) 272-7825
(717) 272-9453
Mailing address
21 HILL SIDE DR, PINE GROVE, PA 17963-1714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET009006
PA
Other
Enumeration date
04/08/2007
Last updated
07/08/2007
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