DR. Mark Loc Bao Ly, O.D.

NPI #1962552828 in Fresno, California

Provider Information

NPI Number: 1962552828
Entity Type: Individual
Name: DR. Mark Loc Bao Ly, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7300 N FRESNO ST
City: Fresno
State: California
ZIP Code: 93720-2941
Phone: (559) 448-4622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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