| NPI | 1164485405 |
|---|---|
| Former Name | SUSAN BEALL LUKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14677TPG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S798TA211) |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2016-01-26 |