Individual
LISA JO HOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 BIELENBERG DR STE 103, WOODBURY, MN 55125-4443
(651) 504-5901
(651) 504-5902
Mailing address
1004 COUNTY ROAD 42 E, BURNSVILLE, MN 55337-4652
(952) 894-1400
(952) 808-2216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3691
MN
152W00000X
Optometrist
948
NH
Other
Enumeration date
06/21/2017
Last updated
03/19/2021
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