Colleen Hannegan, RDO
NPI #1619024601 in Lake Forest, California
Provider Information
- NPI Number
- 1619024601
- Entity Type
- Individual
- Name
- Colleen Hannegan, RDO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- RDO
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 21098 BAKE PKWY
- Address 2
- SUITE 110
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-2163
- Phone
- (949) 597-0104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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