Individual
DR. IRMA LILIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11104 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
(718) 641-3450
Mailing address
11110 LIBERTY AVE, UNIT 1A2, SOUTH RICHMOND HILL, NY 11419-1812
(718) 641-3450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006453-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02602862
—
NY
Enumeration date
04/23/2007
Last updated
05/25/2016
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