Dr LISA LA SUSA is a female medical professional, specializing in Optometry. She graduated in 2013 from International American University At Puerto Rico - School Of Optometry.
MOFFATT WAGNER P C
1508 RESEARCH FOREST DR
SUITE 200
SHENANDOAH
TX
773814375
Tel: 2812921600
Npi | 1730593310 |
Pac Id | 7517206105 |
Professional Enrollment Id | I20190226001105 |
Last Name | LA SUSA |
First Name | LISA |
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Gender | F |
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Medical School Name | INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY |
Graduation Year | 2013 |
Primary Specialty | OPTOMETRY |
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Organization Legal Name | MOFFATT WAGNER P C |
Group Practice Pac Id | 7719226489 |
Number Of Group Practice Members | 4 |
Line 1 Street Address | 1508 RESEARCH FOREST DR |
Line 2 Street Address | SUITE 200 |
Marker Of Address Line 2 Suppression | |
City | SHENANDOAH |
State | TX |
Zip Code | 773814375 |
Phone Number | 2812921600 |
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Professional Accepts Medicare Assignment | Y |
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