| Doctor Name: | LILIAN V. WALTER |
| NPI Number: | 1144318841 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED OPTICIAN |
| License Number: | 1101002209 |
| Business Practice Address: | 5073 Waterway Dr Dumfries, VA - 220251259 |
| Business Phone Number: | 7035807274 |
| Business Fax Number: | 7035806945 |
| Mailing Address: | 5445 Quaint Dr, WOODBRIDGE |
| State: | VA |
| Postal Code: | 221934591 |
| Phone Number: | 7035839611 |
| Fax Number: | 7035806945 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 1101002209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |