Individual
DR. LISA RAE KANFOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
131 PLEASANT DR, SUITE #3, ALIQUIPPA, PA 15001-1300
(724) 378-4457
(724) 378-4541
Mailing address
131 PLEASANT DR, SUITE #3, ALIQUIPPA, PA 15001-1300
(724) 378-4457
(724) 378-4541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001382
PA
Other
Enumeration date
04/26/2006
Last updated
12/12/2007
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