Individual
LIRU GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
15711 AURORA AVE N, SHORELINE, WA 98133-5921
(206) 363-2296
Mailing address
15711 AURORA AVE N, SHORELINE, WA 98133-5921
(206) 363-2296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60169548
WA
Other
Enumeration date
07/10/2010
Last updated
10/23/2010
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