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Individual
OSCAR LILLO
Active
Individual
OSCAR LILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13656
CA
152W00000X
Optometrist
OD00001729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008684
—
WA
Enumeration date
04/11/2006
Last updated
04/10/2023
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