Individual
DR. LISA MARIE HIMMELEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4139
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
(215) 823-4139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001969
PA
Other
Enumeration date
07/17/2007
Last updated
06/02/2016
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