Individual
LILIAN V. WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
5073 WATERWAY DR, DUMFRIES, VA 22025-1259
(703) 580-7274
(703) 580-6945
Mailing address
5445 QUAINT DR, WOODBRIDGE, VA 22193-4591
(703) 583-9611
(703) 580-6945
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002209
VA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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