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Individual

DR. EDWIN MICHAEL LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3901B SANTA RITA RD, PLEASANTON, CA 94588-3462
(925) 463-2150
(925) 463-1186
Mailing address
3591 CRESPI CT, PLEASANTON, CA 94566-7561
(925) 463-2150
(925) 463-1186

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7516TPL
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD004240
CA
Enumeration date
01/25/2006
Last updated
07/11/2007
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