Individual
DR. LISA MARY HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
220 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(570) 491-5334
(570) 491-5506
Mailing address
220 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(570) 491-5334
(570) 491-5506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001987
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025391940001
—
PA
Enumeration date
07/19/2006
Last updated
01/25/2011
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