Search › Virginia › 152W00000X
Lisa Wallace-Davis, OD
NPI 1356373914 · on the registry since 2006
Practice
- Address
- 1134 Big Bethel Rd
Hampton, VA 23666 - Phone
- (757) 827-6612
- Fax
- (757) 827-6296
- Organisation at this address
- Wal-Dav Incorporated
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia