Individual
DR. LISA ANNE NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
126 S CODY RD, LE CLAIRE, IA 52753-9236
(563) 289-2020
(563) 289-2011
Mailing address
812 S 9TH AVE, ELDRIDGE, IA 52748-2023
(563) 285-5744
(563) 285-5744
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
02189
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223669
—
IA
Enumeration date
04/24/2006
Last updated
02/19/2008
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