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Individual

DR. LISA LYNN SLABY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2671
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38597300
WI
01
P00143012
RAILROAD MEDICARE
WI
Enumeration date
10/07/2005
Last updated
06/13/2012
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