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Individual
DR. LILY H KIM
Active
Individual
DR. LILY H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10347TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0103470
—
CA
Enumeration date
01/30/2006
Last updated
07/03/2014
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