Dr. Tiffany Phuong, OD
Optometrist in Lancaster, PA. Individual provider (NPI-1).
NPI number1053973263
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1053973263
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tiffany Phuong
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2019
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OEG003576 | PA | Yes |
| 152W00000X | Optometrist | OB009474 | PA |
Practice location
1635 Manheim PikeLancaster, PA 17601-3027
Phone 717-299-0925
Mailing address
312 Laurel AveAldan, PA 19018-4206
Phone 610-203-3592
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