Individual
LISA SANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
437 N TYLER RD, WICHITA, KS 67212-3630
(316) 722-1001
(316) 722-1073
Mailing address
437 N. TYLER RD, WICHITA, KS 67212-3630
(316) 722-1001
(316) 722-1073
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1825
KS
Other
Enumeration date
08/11/2008
Last updated
07/31/2017
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