Individual
MR. LUIS FELIPE ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO 002182
GA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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