Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA MARIE KRUITBOSCH
ActiveMRS. LISA MARIE KRUITBOSCH is a Optician, Dispensing healthcare provider located in PISMO BEACH, California. NPI 1578918728 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · PISMO BEACH, CA
Registration Details
- NPI Number
- 1578918728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2016 (10.328390733251 yrs)
- Last Updated
- Apr 25, 2016
- License
-
ABO145453 (CA)
Practice Information
- Address
-
900 PRICE STPISMO BEACH, CA, 934492534Browse CA providers · Browse ZIP 93449
- Phone
- 8057732324
- Fax
- 8057732327
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in PISMO BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MS. CYNTHIA T. LEGER | RDO | 1386764223 |
| TERRY AGIN | R.D.O. | 1669689600 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.