Individual
LISA A TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
679 KIDDER ST, WILKES BARRE, PA 18702-6908
(570) 825-3491
Mailing address
200 MIFFLIN AVE, SCRANTON, PA 18503-1982
(570) 342-3145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE006956T
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011343680005
—
PA
Enumeration date
09/01/2005
Last updated
12/01/2022
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