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Individual

DR. AMANDA LY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
43927 15TH ST W, LANCASTER, CA 93534-4758
(661) 948-6310
Mailing address
3164 HIGHLANDER RD, FULLERTON, CA 92833-5508
(714) 515-2571

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT34702-TLG
CA

Other

Enumeration date
09/28/2020
Last updated
11/30/2020
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