Individual
LILIAN SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7361 W LAKE MEAD BLVD STE 104, LAS VEGAS, NV 89128-1040
(702) 323-5404
Mailing address
7361 W LAKE MEAD BLVD STE 104, LAS VEGAS, NV 89128-1040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1069
NV
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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