Provider Demographics
NPI:1265683908
Name:VOXUAN, LILY (OD)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:
Last Name:VOXUAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3663
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76007-3663
Mailing Address - Country:US
Mailing Address - Phone:713-269-4251
Mailing Address - Fax:817-738-7724
Practice Address - Street 1:10921 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3906
Practice Address - Country:US
Practice Address - Phone:310-800-2809
Practice Address - Fax:310-208-0169
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7291TG152W00000X
CA14332 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7291TGOtherTEXAS OPTOMETRY BOARD
CA14332 TLGOtherCALIFORNIA OPTOMETRY BOARD