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Teresa Lisburg, OPTICIAN — NPI 1770833675, Fargo, ND | NPI Central

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NPI 1770833675

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Teresa Lisburg, OPTICIAN

NPI 1770833675 · Optician · Fargo, ND

Provider details

NPI number: 1770833675
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: OPTICIAN
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

OpticianPrimary156FX1800X
Eye and Vision Services Providers

Practice location

1404 33rd St Sw

Suite 1

Fargo, ND 58103-3482

Phone: (701) 212-0758

Approximate (ZIP-level) locationGet directions

More ND providers

Mailing address

1404 33rd Street Southwest

Fargo, ND 58103

Registry dates

Enumerated: 2012-09-18
Last updated: 2012-09-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.