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Individual

DR. LISA M LIMTIACO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
16542 VENTURA BLVD, SUITE 115, ENCINO, CA 91436-2005
(650) 799-4201
(866) 739-7720
Mailing address
16542 VENTURA BLVD, SUITE 115, ENCINO, CA 91436-2005
(650) 799-4201
(866) 739-7720

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
10368T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
10368T
CA

Other

Enumeration date
08/01/2006
Last updated
09/01/2012
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