Individual
DR. HANNA LYDIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9040 JACKSON AVE, PCSL - OPTOMETRY, TACOMA, WA 98431-0001
(516) 375-4593
Mailing address
9040 JACKSON AVE, PCSL - OPTOMETRY, TACOMA, WA 98431-0001
(516) 375-4593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
085121
IA
152W00000X
Optometrist
TUV007814
NY
Other
Enumeration date
07/26/2011
Last updated
02/23/2022
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