Individual
LISA M KOLLIS-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5129 S WESTERN AVE, SIOUX FALLS, SD 57108
(605) 332-2231
Mailing address
5129 S WESTERN AVE, SIOUX FALLS, SD 57108
(605) 332-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
540
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203043
—
SD
Enumeration date
08/29/2005
Last updated
08/26/2022
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