DR. William Loftin Petersen, O.D.
NPI #1477690105 in Dana Point, California
Provider Information
- NPI Number
- 1477690105
- Entity Type
- Individual
- Name
- DR. William Loftin Petersen, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jun 7, 2017
Practice Location
- Address
- 34179 GOLDEN LANTERN ST
- Address 2
- SUITE 201
- City
- Dana Point
- State
- California
- ZIP Code
- 92629-2800
- Phone
- (949) 661-1181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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