Sandy L Costello, O.D.

NPI #1639129869 in Lantana, Florida

Provider Information

NPI Number: 1639129869
Entity Type: Individual
Name: Sandy L Costello, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 10, 2006
Last Updated: Sep 15, 2010

Practice Location

Address: 1280 W LANTANA RD
Address 2: SUITE 1
City: Lantana
State: Florida
ZIP Code: 33462-1543
Phone: (561) 582-3383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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