| NPI | 1548695554 |
|---|---|
| Other Name | LILY LOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA OPT15040TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002868) |
| 152W00000X Optometrist (Licence: CA OPT 15070) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2014-09-17 |