Organization
LISA MOFFITT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MOFFITT OD (PRESIDENT)
(814) 724-3468
Entity
Organization
Contact information
Practice address
16086 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3884
(814) 337-4426
Mailing address
11605 HUNTERS RIDGE BLVD APT 5, MEADVILLE, PA 16335-6269
(814) 724-3468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000769
PA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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