Organization
LISA M. HAGGERTY, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA HAGGERTY OD (OPTOMETRIST)
(570) 491-5334
Entity
Organization
Contact information
Practice address
220 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(570) 491-5334
(570) 491-5506
Mailing address
220 ROUTE 6 AND 209, MILFORD, PA 18337-9454
(570) 491-5334
(570) 491-5506
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025391940001
—
PA
Enumeration date
03/13/2019
Last updated
03/13/2019
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