Individual
LAURA LIZ ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
(602) 598-7646
Mailing address
4800 N 22ND ST STE 210, PHOENIX, AZ 85016-4963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002615
AZ
Other
Enumeration date
05/06/2022
Last updated
08/09/2022
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