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Individual

LILLIAM LOPEZ FELICIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
PO BOX 2137, AIBONITO, PR 00705-2137
(787) 451-8430
Mailing address
PO BOX 2137, AIBONITO, PR 00705-2137
(787) 451-8430

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
465
PR
156FX1800X
Optician

Other

Enumeration date
07/22/2024
Last updated
07/22/2024
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