Lance M Ikemoto, O.D.

NPI #1356491021 in Westminster, California

Provider Information

NPI Number: 1356491021
Entity Type: Individual
Name: Lance M Ikemoto, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2056 WESTMINSTER MALL
City: Westminster
State: California
ZIP Code: 92683-4947
Phone: (714) 897-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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