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Mrs. Lisa D Creighton
Optician in Lynden, Washington
NPI 1902975915

Lisa D Creighton is a Optician based in Lynden, WA and is specialized in Optician. Lisa D Creighton practices in Lynden, WA. The NPI Number for Lisa D Creighton is 1902975915 and holds a License No. DO00001440 (Washington).

The current practice location address for Lisa D Creighton is 605 Wood Creek Dr, Lynden, WA and can be reached out via phone at 369-510-4432 and via fax at 360-318-0822.

Location: 605 Wood Creek Dr, Lynden, WA, 98264-1107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902975915
Provider Name
Lisa D Creighton
Credential
Provider Entity Type
Individual
Gender
Female
Address
605 Wood Creek Dr, Lynden, WA, 98264-1107
Phone Number
369-510-4432
Fax Number
360-318-0822
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2031342 05 WA
institution
Provider Business Practice Location Address Details
Address
605 Wood Creek Dr
City
Lynden
State
Washington
Zip
98264-1107
Phone Number
369-510-4432
Fax Number
360-318-0822
person
Provider Business Mailing Address Details
Address
605 Wood Creek Dr
City
Lynden
State
Washington
Zip
98264-1107
Phone Number
369-510-4432
Fax Number
360-318-0822
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
DO00001440 (Washington)
Definition
Definition to come...
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