Individual
DR. LISA VICTORIA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
101 OLD YORK RD STE 306, JENKINTOWN, PA 19046-3900
(215) 376-0306
(215) 376-0376
Mailing address
7530 MOUNTAIN AVE, MELROSE PARK, PA 19027-3024
(215) 782-8710
(215) 782-3784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000695
PA
Other
Enumeration date
05/06/2006
Last updated
03/14/2019
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