Individual
DR. LISA B. DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1955 OPELIKA RD, AUBURN, AL 36830-2811
(334) 821-8889
(334) 821-4733
Mailing address
2080 BERRYHILL RD, MONTGOMERY, AL 36117-3599
(334) 387-2020
(334) 387-0449
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S827TA355
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51537440
BLUE CROSS PROVIDER #
AL
Enumeration date
09/28/2006
Last updated
08/20/2019
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