Individual
DR. LISA S. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 N COURT ST, CIRCLEVILLE, OH 43113-1226
(740) 477-2504
(740) 477-1987
Mailing address
600 N COURT ST, CIRCLEVILLE, OH 43113-1226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4691 T1466
OH
Other
Enumeration date
07/19/2006
Last updated
09/06/2024
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