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NPI Code Detail

MEDICARE: LISA HEUER, OD, A PROFESSIONAL CORPORATION

MEDICARE: LISA HEUER, OD, A PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1346525656
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISA HEUER, OD, A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 433 COLLEGE ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3908
Country : US
Telephone Number : 530-662-2020
Fax Number : 530-662-8642
Provider Business Practice Location Address
First Line : 433 COLLEGE ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-3908
Country : US
Telephone Number : 530-662-2020
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : LISA MARIE HEUER
Credential : OD
Telephone Number : 530-662-2020
Provider Enumeration Date : 10/18/2011
Last Update Date : 06/10/2024

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Directions to “LISA HEUER, OD, A PROFESSIONAL CORPORATION ” Practice Location

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