Individual
DR. MICHAEL LORD PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 ELM ST, NORTH ATTLEBORO, MA 02760-3309
(508) 699-8227
(508) 699-2214
Mailing address
555 ELM ST, NORTH ATTLEBORO, MA 02760-3309
(508) 699-8227
(508) 699-2214
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030.0133967
VT
152W00000X
Optometrist
Primary
2778
MA
152W00000X
Optometrist
3867-35
WI
152W00000X
Optometrist
ODTA00559
RI
152W00000X
Optometrist
TPOP103
FL
Other
Enumeration date
06/25/2005
Last updated
02/17/2023
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