Individual provider · NPI-1

Lisa Campos, RSLD

Technician/Technologist, Optician · Los Angeles, CA

NPI number1760046189
StatusActive
Last updated in NPPESMay 1, 2019

Details

NPI
1760046189
Entity type
Individual (NPI-1)
Name
Lisa Campos
Credential
RSLD
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2019
Last updated
May 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician6259CAYes

Practice location

5822 S Vermont Ave
Los Angeles, CA 90044-3712

Phone 323-781-2208 · Fax 323-541-9645

Mailing address

11605 N Lamar Blvd
Austin, TX 78753-2658

Phone 737-222-6996

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician/Technologist, Optician providers in Los Angeles, CA