Individual
LYDIA EASON BROZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5959 TRIANGLE TOWN BLVD, RALEIGH, NC 27616-3268
(919) 792-2347
Mailing address
5959 TRIANGLE TOWN BLVD, STE 2001, RALEIGH, NC 27616-3271
(919) 387-5718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1491
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1491
OPTOMETRIC LICENSE
NC
Enumeration date
06/04/2006
Last updated
03/07/2023
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