Individual
LYNN MARIE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2188 GRASS VALLEY HWY, AUBURN, CA 95603-2522
(530) 889-9985
Mailing address
6456 PINEHAVEN RD, OAKLAND, CA 94611-1246
(510) 339-6256
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D6922
CA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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