Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TERESA LYNN LISBURG, OPTICIAN
Active Sole ProprietorMS. TERESA LYNN LISBURG, OPTICIAN is a Optician, Dispensing healthcare provider located in FARGO, North Dakota. NPI 1770833675 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · FARGO, ND
Registration Details
- NPI Number
- 1770833675
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2012 (13.862907682174 yrs)
- Last Updated
- Sep 18, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
1404 33RD ST SWSUITE 1FARGO, ND, 581033482Browse ND providers · Browse ZIP 58103
- Phone
- 7012120758
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| DOUGLAS JOHN STAVENGER | ABO | 1649343930 |
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.