Individual
DR. ANTOINETTE LAM VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
17064 SLOVER AVE STE 104, FONTANA, CA 92337-7592
(909) 258-4620
(909) 258-4625
Mailing address
7983 WINDCHIME ST, CHINO, CA 91708-7619
(626) 485-2499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34524TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/29/2020
Last updated
01/02/2025
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