Domino, Lisa G
Domino, Lisa G is an sole proprietor health care provider with primary practice located at 2510 Sw White Birch Dr Ste 5 , Ankeny IA 50023-7171. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Domino, Lisa G can be contacted via phone (515) 450-1339.Contact Information
Primary practice address
2510 Sw White Birch Dr Ste 5
Ankeny IA 50023-7171
Phone: (515) 450-1339
Fax: (515) 964-3277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002438 | Iowa |
Profile Details
| NPI number | 1124283767 |
|---|---|
| LBN Legal business name | Domino, Lisa G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2008 |
| Last updated | Jul 21st, 2022 - about 2 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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