Individual
LENA PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3200 S UNIVERSITY DR BLDG 1402, DAVIE, FL 33328-2018
(954) 262-4235
(954) 262-3904
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4397
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OFC75
FL
Other
Enumeration date
07/01/2022
Last updated
07/02/2022
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