Individual
DR. LISA M TESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2694 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-1861
(330) 785-5111
(330) 785-5114
Mailing address
2694 S MAIN ST, COVENTRY TOWNSHIP, OH 44319-1861
(330) 785-5111
(330) 785-5114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4179-T681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872739
—
OH
01
—
4126690001
MEDICARE DURABLE MEDICAL GOODS
OH
Enumeration date
09/19/2005
Last updated
01/15/2021
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