Individual
BILL LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 614-4342
Mailing address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 614-4342
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5177 T
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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