Individual
LISA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1428 W HEBRON PKWY STE 125, CARROLLTON, TX 75010-6345
(972) 325-2022
Mailing address
1428 W HEBRON PKWY STE 125, CARROLLTON, TX 75010-6345
(972) 325-2022
(972) 332-0308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8206TG
TX
Other
Enumeration date
07/10/2012
Last updated
09/09/2022
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