Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 0EG001181 | PA |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 0EG001181 | PA |
NPI | 1184673824 |
---|---|
Provider Name | Leane E. Lipinski-Delbalso |
First Address | Wilkes Barre, PA 18702-6059 |
Second Address | Wilkes Barre, PA 18702-6059 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 10/09/2009 |