Lydia Bouman

NPI #1003650904 in Medford, Oregon

Provider Information

NPI Number
1003650904
Entity Type
Individual
Name
Lydia Bouman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Enumeration Date
Jun 24, 2024
Last Updated
Jun 24, 2024

Practice Location

Address
1600 N RIVERSIDE AVE
State
Oregon
ZIP Code
97501-4652
Phone
(458) 658-5295

Specialties & Taxonomy Codes

Specialty
Optometrist

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