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Organization
TERESA J LUI OD INC
Active
Organization
TERESA J LUI OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA JANE LUI OD (PRESIDENT)
(650) 321-9525
Entity
Organization
Contact information
Practice address
616 RAMONA ST, SUITE 2, PALO ALTO, CA 94301-2577
(650) 321-9525
(866) 805-6069
Mailing address
616 RAMONA ST, SUITE 2, PALO ALTO, CA 94301-2577
(650) 321-9525
(866) 805-6069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0077220
PTAN
CA
Enumeration date
05/09/2012
Last updated
11/13/2012
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