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Individual

DR. JOHN LIETO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
270 INDIAN RUN STREET, WAL-MART VISION CENTER, EXTON, PA 19341
(484) 875-9591
(484) 875-9725
Mailing address
178 1ST AVE, PHOENIXVILLE, PA 19460-3761

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 1033
PA

Other

Enumeration date
09/05/2006
Last updated
07/08/2007
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