Individual
DR. XIAOMIN FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
180 RIVER RD, WAL-MART VISION CENTER, LISBON, CT 06351-3249
(781) 330-2605
Mailing address
200 REGAN RD, APT. 26C, VERNON, CT 06066-2850
(781) 330-2605
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2864
CT
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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