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Individual

KELLY LU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3700 E STATE HIGHWAY 18, BLYTHEVILLE, AR 72315-6881
(870) 762-0711
(870) 762-4139
Mailing address
3700 E STATE HIGHWAY 18, BLYTHEVILLE, AR 72315-6881
(870) 762-0711
(870) 762-4139

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2653
AR

Other

Enumeration date
07/23/2010
Last updated
07/23/2010
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