Individual
MRS. LISA HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COT
Contact information
Practice address
105 SUGAR CAMP CIR, DAYTON, OH 45409-1962
(937) 222-3937
(937) 223-5254
Mailing address
105 SUGAR CAMP CIR, DAYTON, OH 45409-1962
(937) 222-3937
(937) 223-5254
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
21675
OH
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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