NPI 1770833675
Teresa Lynn Lisburg, OPTICIAN
Practice location
- Address
- 1404 33rd St SW Suite 1, Fargo, ND 58103-3482
- Phone
- (701) 212-0758
- Mailing address
- 1404 33rd Street Southwest Suite 1, Fargo, ND 58103
Registered specialties
Optician
Primary
Registry record
- NPI
- 1770833675
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Sep 2012
- Record last updated
- 18 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.