Individual
DR. LOIS HERMANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9 GAMEBIRD CT, MANAKIN SABOT, VA 23103
(804) 305-7792
Mailing address
9 GAMEBIRD CT, MANAKIN SABOT, VA 23103
(804) 305-7792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000877
VA
152WL0500X
Low Vision Rehabilitation Optometrist
0618000877
VA
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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