| Doctor Name: | MRS. LISA LYNN DOLEZEL |
| NPI Number: | 1063728889 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 007233-1 |
| Business Practice Address: | 1 Associate Dr Oneonta, NY - 138202266 |
| Business Phone Number: | 6074336344 |
| Business Fax Number: | 6074336331 |
| Mailing Address: | 1 Associate Dr, ONEONTA |
| State: | NY |
| Postal Code: | 138202266 |
| Phone Number: | 6074336344 |
| Fax Number: | 6074336331 |
| NPI Enumeration Date: | 08/31/2010 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 007233-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |