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Mrs. Lisa Marie Kruitbosch
Optician in Pismo Beach, California
NPI 1578918728

Lisa Marie Kruitbosch is a Optician based in Pismo Beach, CA and is specialized in Optician. Lisa Marie Kruitbosch practices in Pismo Beach, CA. The NPI Number for Lisa Marie Kruitbosch is 1578918728 and holds a License No. ABO145453 (California).

The current practice location address for Lisa Marie Kruitbosch is 900 Price St, Pismo Beach, CA and can be reached out via phone at 805-773-2324 and via fax at 805-773-2327.

Location: 900 Price St, Pismo Beach, CA, 93449-2534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578918728
Provider Name
Lisa Marie Kruitbosch
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 Price St, Pismo Beach, CA, 93449-2534
Phone Number
805-773-2324
Fax Number
805-773-2327
Provider Enumeration Date
04/25/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Price St
City
Pismo Beach
State
California
Zip
93449-2534
Phone Number
805-773-2324
Fax Number
805-773-2327
person
Provider Business Mailing Address Details
Address
900 Price St
City
Pismo Beach
State
California
Zip
93449-2534
Phone Number
805-773-2324
Fax Number
805-773-2327
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
ABO145453 (California)
Definition
Definition to come...
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