Lydia A Tan, OD

NPI #1225098692 in Monterey Park, California

Provider Information

NPI Number: 1225098692
Entity Type: Individual
Name: Lydia A Tan, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 28, 2006
Last Updated: Apr 30, 2012

Practice Location

Address: 756 W GARVEY AVENUE
City: Monterey Park
State: California
ZIP Code: 91754-2708
Phone: (626) 281-0403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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