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Individual

LISA MICHELLE TOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5454 WISCONSIN AVE STE 950, CHEVY CHASE, MD 20815-6912
(301) 657-5700
(301) 654-9132
Mailing address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3549
(603) 224-2020
(603) 228-7061

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0095596
MD
207W00000X
Ophthalmology Physician
MD210002800
DC
207W00000X
Ophthalmology Physician
ME145348
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
21488
NH
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
D0095596
MD
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD210002800
DC

Other

Enumeration date
06/07/2016
Last updated
02/25/2025
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