MR. Larry L Waggoner, DOCTOR OF OPTOMETRY

NPI #1710065727 in Lake Isabella, California

Provider Information

NPI Number: 1710065727
Entity Type: Individual
Name: MR. Larry L Waggoner, DOCTOR OF OPTOMETRY
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: DOCTOR OF OPTOMETRY
Enumeration Date: Nov 1, 2006
Last Updated: Aug 23, 2010

Practice Location

Address: 12134 MT MESA RD
City: Lake Isabella
State: California
ZIP Code: 93240
Phone: (760) 379-3602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Larry E Waggoner O D Prof Corp	Optometrist	Lake Isabella	AI Deep Dive

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