Individual
DR. VERISSA LAM FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3241 S MICHIGAN AVE, #72, CHICAGO, IL 60616-4201
(415) 321-9988
Mailing address
100 BATTERY ST, SAN FRANCISCO, CA 94111-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
15279
CA
Other
Enumeration date
06/16/2015
Last updated
05/04/2022
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