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NPI Code Detail

MEDICARE: DR. LILY THUY NGUYEN OD

MEDICARE:  DR. LILY THUY NGUYEN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT34245-TLGCA

General Provider Information

NPI Number : 1518522747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LILY THUY NGUYEN OD
Provider Business Mailing Address
First Line : 6155 STONERIDGE DR STE 100
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-3365
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6155 STONERIDGE DR STE 100
Second Line :
City : PLEASANTON
State : CA
Zip : 94588-3365
Country : US
Telephone Number : 925-463-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2019
Last Update Date : 12/10/2021

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Directions to “ DR. LILY THUY NGUYEN OD” Practice Location

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