Individual
LISA ANN TRAVEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
21 MARKET STREET, STE. 100, IPSWICH, MA 01938
(978) 356-3015
(978) 356-7525
Mailing address
21 MARKET STREET, STE. 100, IPSWICH, MA 01938
(978) 356-3015
(978) 356-7525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3308
MA
152W00000X
Optometrist
Primary
MA3308
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732784
TUFTS ID #
MA
Enumeration date
01/17/2006
Last updated
06/20/2013
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