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Individual

LISA DRAPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
8488T
TX
152W00000X
Optometrist
I3-0001385
DE
152W00000X
Optometrist
Primary
OEG003959
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124091-04
TX
Enumeration date
07/10/2014
Last updated
12/06/2023
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