Organization
LISA A REDILLA OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A REDILLA OD (PRESIDENT)
(734) 945-0555
Entity
Organization
Contact information
Practice address
29500 7 MILE RD, LIVONIA, MI 48152-1910
(248) 477-2662
Mailing address
38197 LANCASTER ST, LIVONIA, MI 48154-1509
(734) 945-0555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004125
MI
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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