Individual
DR. LISA L SCHIFANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BOULEVARD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0010
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S796TA286
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943425
—
AL
05
—
08857051
—
MS
05
—
1585912
—
LA
01
—
51519980
BCBS
AL
01
—
U53184
VIVA
AL
Enumeration date
08/08/2006
Last updated
07/01/2010
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