LISA JO HOLTMAN
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1710407622- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 755 BIELENBERG DR STE 103, WOODBURY, MN, 551254443
- Phone
- (651) 504-5901
- Fax
- (651) 504-5902
Specialties & Taxonomies
Optometrist
License: NH #948
Optometrist
Primary License: MN #3691