Individual
DR. LISA OLECK GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
312 N PARK AVENUE, WINTER PARK, FL 32789-3801
(407) 644-5156
(407) 644-5290
Mailing address
312 N PARK AVE, WINTER PARK, FL 32789-3305
(407) 644-5156
(407) 644-5290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003232
FL
Other
Enumeration date
01/08/2007
Last updated
10/08/2013
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