Individual
DR. LISELOTTE LORE VAN LANDEGEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
127 NEWARK AVE, JERSEY CITY, NJ 07302-5862
(201) 333-2768
(201) 333-3145
Mailing address
127 NEWARK AVE, JERSEY CITY, NJ 07302-5862
(120) 133-3276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00708400
NJ
152W00000X
Optometrist
TUV009138
NY
Other
Enumeration date
06/24/2020
Last updated
11/23/2021
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