Individual
ALEXANDRIA LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
744 E 3RD ST, BLOOMINGTON, IN 47405
(812) 855-8436
Mailing address
744 E 3RD ST, BLOOMINGTON, IN 47405-3603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004103A
IN
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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