Individual
DR. TYLA LOUISE GIROUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, LDO
Contact information
Practice address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5802
Mailing address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
(617) 395-2620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5383
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110155932A
—
MA
Enumeration date
08/09/2019
Last updated
02/28/2023
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