Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OEG001052 | PA |
NPI | 1013037076 |
---|---|
Provider Name | Dr. Gretchen Lynn Albert |
First Address | Carlisle, PA 17013-9676 |
Second Address | Carlisle, PA 17013-4119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |