Individual provider · NPI-1

Lisa Herold, COT

Technician/Technologist, Ophthalmic · Dayton, OH

NPI number1265666556
StatusActive
Last updated in NPPESMay 14, 2009

Details

NPI
1265666556
Entity type
Individual (NPI-1)
Name
Mrs. Lisa Herold
Credential
COT
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2009
Last updated
May 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1100X Technician/Technologist, Ophthalmic21675OHYes

Practice location

105 Sugar Camp Cir
Dayton, OH 45409-1962

Phone 937-222-3937 · Fax 937-223-5254

Mailing address

105 Sugar Camp Cir
Dayton, OH 45409-1962

Phone 937-222-3937 · Fax 937-223-5254

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