Organization
LISA STAFFORD, OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA LYNN STAFFORD OD (PRESIDENT)
(765) 659-2020
Entity
Organization
Contact information
Practice address
2070 S STATE ROAD 39, FRANKFORT, IN 46041-7655
(765) 659-2020
(765) 654-4668
Mailing address
2070 S STATE ROAD 39, FRANKFORT, IN 46041-7655
(765) 659-2020
(765) 654-4668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002840
IN
Other
Enumeration date
04/27/2008
Last updated
11/24/2010
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