Individual
DR. LISA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12221 GUY R BREWER BLVD # A, JAMAICA, NY 11434-2406
(718) 527-0550
(718) 527-0546
Mailing address
830 ELICE PL, BALDWIN, NY 11510-3903
(917) 209-3713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608319
—
NY
Enumeration date
12/14/2005
Last updated
12/26/2022
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