Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 4379ATI | OR |
Y | 152W00000X | Optometrist | OD60855208 | WA |
N | 152W00000X | Optometrist | OPT-002297 | AZ |
NPI | 1013400795 |
---|---|
Provider Name | Dr. Lois Filipelli |
First Address | Vancouver, WA 98663-2542 |
Second Address | Vancouver, WA 98683-9321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 17/10/2018 |