Individual
LUIS C TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Mailing address
215 FISHER RD, JENKINTOWN, PA 19046-3811
(512) 470-2409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002259
PA
152WP0200X
Pediatric Optometrist
Primary
OEG002259
PA
Other
Enumeration date
08/21/2009
Last updated
07/15/2011
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