LISA RAE KANFOUSH OD

Dr LISA RAE KANFOUSH OD is a female medical professional, specializing in Optometry. She graduated in 1993 from Pennsylvania College Of Optometry.

Contact

131 PLEASANT DR
SUITE 4U
ALIQUIPPA
PA
150011300

Tel: 7243784457

LISA RAE KANFOUSH OD Information

Npi 1992761092
Pac Id 7214838135
Professional Enrollment Id I20040115000089
Last Name KANFOUSH
First Name LISA
Middle Name RAE
Suffix
Gender F
Credential OD
Medical School Name PENNSYLVANIA COLLEGE OF OPTOMETRY
Graduation Year 1993
Primary Specialty OPTOMETRY
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Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 131 PLEASANT DR
Line 2 Street Address SUITE 4U
Marker Of Address Line 2 Suppression
City ALIQUIPPA
State PA
Zip Code 150011300
Phone Number 7243784457
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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