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Lisa Nicholas
Optician in Corbin, Kentucky
NPI 1598229098

Lisa Nicholas is a Optician based in Corbin, KY and is specialized in Optician. Lisa Nicholas practices in Corbin, KY. The NPI Number for Lisa Nicholas is 1598229098 and holds a License No. 110149 (Kentucky).

The current practice location address for Lisa Nicholas is 1707 Cumberland Falls Hwy Ste U4, Corbin, KY and can be reached out via phone at 606-528-7336.

Location: 1707 Cumberland Falls Hwy Ste U4, Corbin, KY, 40701-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598229098
Provider Name
Lisa Nicholas
Credential
Provider Entity Type
Individual
Gender
Female
Address
1707 Cumberland Falls Hwy Ste U4, Corbin, KY, 40701-2744
Phone Number
606-528-7336
Fax Number
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1707 Cumberland Falls Hwy Ste U4
City
Corbin
State
Kentucky
Zip
40701-2744
Phone Number
606-528-7336
Fax Number
person
Provider Business Mailing Address Details
Address
1707 Cumberland Falls Hwy Ste U4
City
Corbin
State
Kentucky
Zip
40701-2744
Phone Number
606-528-7336
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
110149 (Kentucky)
Definition
Definition to come...
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