Individual
DR. HIEU MINH LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
521 S HAM LN, LODI, CA 95242-3528
(209) 334-5886
Mailing address
3241 VINTAGE OAKS CT, SAN JOSE, CA 95148-3825
(916) 718-8230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 14480 TLG
CA
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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