Teel, Lisa

Teel, Lisa is an individual health care provider with primary practice located at 545 3Rd St W , Sonoma CA 95476-6501. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Teel, Lisa can be contacted via phone (707) 996-1052.

Contact Information

Primary practice address
545 3Rd St W Sonoma CA 95476-6501
Phone: (707) 996-1052
Fax: (707) 996-6787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT9704 California

Profile Details

NPI number 1144337650
LBN Legal business name Teel, Lisa
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 18th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144337650 NPPES
California Other OPT9704 LICENSE

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