Individual
DR. LITHIA ENID JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
355 S LANDMARK AVE, BLOOMINGTON, IN 47403-5002
(812) 333-4220
Mailing address
1903 E WEXLEY RD, BLOOMINGTON, IN 47401-4359
(812) 334-2351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002601B
IN
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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