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Individual

DR. LISA M.T. WISEMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3609 MEDINA RD, MEDINA, OH 44256-8181
(800) 571-2261
(330) 723-3003
Mailing address
3081 PONDSFORD DR, MEDINA, OH 44256-6897
(330) 721-7559
(330) 721-8769

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4976 T1846
OH

Other

Enumeration date
06/17/2005
Last updated
07/09/2007
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