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Individual

DR. LISA ANN BURAKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1601 S COLUMBUS BLVD, WALMART VISION CENTER, PHILADELPHIA, PA 19148-1402
(215) 389-5814
(215) 755-6561
Mailing address
10 WEATHERWOOD LN, RADNOR, PA 19087-2724
(215) 530-3112
(215) 755-6561

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000739
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015391140003
PA
Enumeration date
11/06/2006
Last updated
04/11/2011
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