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Individual
LILY VOXUAN
Active
Individual
LILY VOXUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14332 TLG
CA
152W00000X
Optometrist
Primary
7291TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14332 TLG
CALIFORNIA OPTOMETRY BOARD
CA
01
—
7291TG
TEXAS OPTOMETRY BOARD
TX
Enumeration date
09/30/2008
Last updated
02/23/2012
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