Lisa G. Wallace-davis is a Optometrist based in Hampton, VA. Lisa G. Wallace-davis practices in Hampton, VA and has the professional credentials of OD. The NPI Number for Lisa G. Wallace-davis is 1356373914 and holds a License No. 0618000303 (Virginia).
The current practice location address for Lisa G. Wallace-davis is 1134 Big Bethel Rd, Hampton, VA and can be reached out via phone at 757-827-6612 and via fax at 757-827-6296.
Identifier | Type | State | Issuer |
---|---|---|---|
0618000303 | 01 | VA | STATE LICENSE |
009232583 | 05 | VA | |
541786245 | 01 | TAX ID |
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