Organization
LISA M TESTA OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M TESTA OD (PRESIDENT)
(330) 785-5111
Entity
Organization
Contact information
Practice address
2694 S. MAIN ST., AKRON, OH 44319
(330) 785-5111
(330) 785-5114
Mailing address
2694 S. MAIN ST., AKRON, OH 44319
(330) 785-5111
(330) 785-5114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH4179 T681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872739
—
OH
01
—
4040431
PTAN
—
Enumeration date
04/15/2008
Last updated
09/18/2024
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