Justin B Michaels, O.D
NPI #1174576904 in Lake Forest, California
Provider Information
- NPI Number
- 1174576904
- Entity Type
- Individual
- Name
- Justin B Michaels, O.D
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D
- Enumeration Date
- May 19, 2006
- Last Updated
- Nov 21, 2007
Practice Location
- Address
- 23002 LAKE CENTER DR
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-6801
- Phone
- (949) 454-1064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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