Individual
LISA IRENE VONASPERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ABOC
Contact information
Practice address
320 CHENEL ST, FOLSOM, LA 70437-5529
(985) 796-5204
(985) 796-5204
Mailing address
320 CHENEL ST, FOLSOM, LA 70437-5529
(985) 796-5204
(985) 796-5204
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
151231
LA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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