Individual
LYDIA HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
120 EMPRESARIO DR STE 111, SAN ANTONIO, TX 78245-4012
(210) 957-0770
Mailing address
902 GEMBLER RD APT 2310, SAN ANTONIO, TX 78219-2116
(916) 517-9300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10455T
TX
Other
Enumeration date
02/07/2022
Last updated
08/16/2022
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