Individual
DR. ALLISON LEIGH LA FATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
485 ROUTE 1 SOUTH, ISELIN, NJ 08830
(732) 750-0400
Mailing address
115 MORRIS ST, APT 1124, JERSEY CITY, NJ 07302-4589
(971) 273-2903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00606100
NJ
152W00000X
Optometrist
TUV006901
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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