Doctor Name: | LOIS HOLLINGSWORTH |
NPI Number: | 1578911962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | |
Business Practice Address: | 2012 Hand Ave Bay Minette, AL - 365074115 |
Business Phone Number: | 2514872442 |
Business Fax Number: | |
Mailing Address: | Po Box 94, BAY MINETTE |
State: | AL |
Postal Code: | 365070094 |
Phone Number: | 2512398270 |
Fax Number: | 2512398269 |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |