Individual
LISA RUFFLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
174 STATE ROUTE 94, BLAIRSTOWN, NJ 07825-2115
(908) 362-8257
(908) 362-1193
Mailing address
174 STATE ROUTE 94, BLAIRSTOWN, NJ 07825-2115
(908) 362-8257
(908) 362-1193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00642600
NJ
152W00000X
Optometrist
27OM00109700
NJ
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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