Individual
MRS. JANET ANN LISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
527 WINSTON DR, ENDWELL, NY 13760-2427
(607) 237-3746
(607) 798-8344
Mailing address
527 WINSTON DR, ENDWELL, NY 13760-2427
(607) 237-3746
(607) 798-8344
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006184-1
NY
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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