Individual
DR. LISA TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
125 E FRANKLIN ST, CENTERVILLE, OH 45459-5915
(937) 435-8605
Mailing address
125 E FRANKLIN ST, CENTERVILLE, OH 45459-5915
(937) 435-8605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5245
OH
Other
Enumeration date
06/08/2006
Last updated
02/01/2008
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