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Alisa Gail Canillas
Optician in Lebanon, New Hampshire
NPI 1285649079

Alisa Gail Canillas is a Optician based in Lebanon, NH and is specialized in Optician. Alisa Gail Canillas practices in Lebanon, NH. The NPI Number for Alisa Gail Canillas is 1285649079 and holds a License No. 596 (New Hampshire).

The current practice location address for Alisa Gail Canillas is 1 Medical Center Dr, Lebanon, NH and can be reached out via phone at 603-650-2651.

Location: 1 Medical Center Dr, Lebanon, NH, 03756-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285649079
Provider Name
Alisa Gail Canillas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Lebanon, NH, 03756-1000
Phone Number
603-650-2651
Fax Number
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1012026 05 VT
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Dr
City
Lebanon
State
New Hampshire
Zip
03756-1000
Phone Number
603-650-2651
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Center Dr
City
Lebanon
State
New Hampshire
Zip
03756-1000
Phone Number
603-650-2651
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
596 (New Hampshire)
Definition
Definition to come...
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