Mrs. Lisa Herold
Ophthalmic
105 Sugar Camp Cir
Dayton
, Ohio 45409-1962
Mrs. Lisa Herold
Ophthalmic
105 Sugar Camp Cir
Dayton
, Ohio 45409-1962
(937) 223-5254
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Mrs. Lisa Herold
- 105 Sugar Camp Cir
- Dayton, OH
- Zip : 45409-1962
- Fax : (937) 223-5254
- Phone : (937) 222-3937
Second Address
- Mrs. Lisa Herold
- 105 Sugar Camp Cir
- Dayton, OH
- Zip : 45409-1962
- Fax : (937) 223-5254
- Phone : (937) 222-3937
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic | 21675 | OH |
National Provider Identifier
| NPI | 1265666556 |
|---|---|
| Provider Name | Mrs. Lisa Herold |
| First Address | Dayton, OH 45409-1962 |
| Second Address | Dayton, OH 45409-1962 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2009 |
| Last Update Date | 14/05/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.