Provider Demographics
NPI:1619162013
Name:VEAL, LISA ELIZABETH SOLBERG (OD)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:ELIZABETH SOLBERG
Last Name:VEAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15336 DEVONSHIRE ST STE 4
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-2763
Mailing Address - Country:US
Mailing Address - Phone:818-361-4020
Mailing Address - Fax:818-361-3966
Practice Address - Street 1:15336 DEVONSHIRE ST STE 4
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-2763
Practice Address - Country:US
Practice Address - Phone:818-361-4020
Practice Address - Fax:818-361-3966
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13411T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist