Lydia Bouman
Lydia Bouman is an Optometrist in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2024.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
1600 N Riverside AveMedford, OR 97501-4652
Phone: (458) 658-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence AT4721 (OR) |
|---|
Record details
| NPI number | 1003650904 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 24, 2024 |
| Last updated in NPPES | June 24, 2024 |
| Certification date | June 24, 2024 |
| Mailing address | 3420 S Cottage Grove Ave Apt 801, Chicago, IL 60616-5112 |
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