Individual
DR. LISA JANUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3975 STATE HWY 6, SUITE 900, COLLEGE STATION, TX 77845
(979) 985-5305
(979) 764-4312
Mailing address
3975 STATE HIGHWAY 6 SOUTH, 900, COLLEGE STATION, TX 77845
(979) 985-5305
(979) 764-4312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6893TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7214684
CIGNA
—
01
—
81737Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/02/2006
Last updated
10/06/2007
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