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Individual

LUELINDA TOMLIN

Active
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Individual

LUELINDA TOMLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8170T
CA
152WC0802X
Corneal and Contact Management Optometrist
OP8170T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013918911
MEDICARE
CA
01
—
330442849
BLUE CROSS
CA
01
—
SD0081700
BLUE SHIELD
CA
05
—
SD0081700
—
CA
Enumeration date
08/02/2005
Last updated
01/27/2009
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