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Individual

DR. LISA MICHELLE WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6037 LA GRANADA STE A, RANCHO SANTA FE, CA 92067
(858) 756-3210
Mailing address
PO BOX 275, RANCHO SANTA FE, CA 92067-0275
(858) 756-3210

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
11405T
CA
152WP0200X
Pediatric Optometrist
11405T
CA
152WV0400X
Vision Therapy Optometrist
Primary
11405T
CA

Other

Enumeration date
10/19/2006
Last updated
01/24/2020
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