Individual
LISA BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13301 HALL RD, SHELBY TOWNSHIP, MI 48315-5835
(810) 726-0290
Mailing address
1936 BROADSTONE RD, GROSSE POINTE WOODS, MI 48236-1953
(313) 515-3236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003593
MI
Other
Enumeration date
01/05/2007
Last updated
10/18/2010
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