Individual
DR. ELIZABETH COPPOLA WIKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
39 GREEN ST, NEWBURYPORT, MA 01950-2652
(978) 465-8761
(978) 465-6228
Mailing address
188 BROADWAY, METHUEN, MA 01844-3862
(978) 794-1445
(978) 975-5430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4746
MA
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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