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MRS. LISA HEROLD COT

Eye and Vision Services Providers Technician/Technologist Ophthalmic

Provider NPI: 1265666556

Provider Information:
MRS. LISA  HEROLD COT
Gender: F
Not Sole Proprietor

Practice Location:
105 SUGAR CAMP CIR  DAYTON, OH 45409-1962 US
Tel: 937-222-3937  Fax: 937-223-5254

Business Mailing Address:
105 SUGAR CAMP CIR  DAYTON, OH 45409-1962 US
Tel: 937-222-3937  Fax: 937-223-5254

NPI Information:
NPI: 1265666556
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y156FX1100XEye and Vision Services Providers
Technician/Technologist
Ophthalmic
OH21675

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 156FX1100X

Type:

Classification:



Definition:



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