Colleen Hannegan, RDO
Colleen Hannegan, RDO is an Optician in Lake Forest, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
21098 Bake Pkwy Ste 110Lake Forest, CA 92630-2163
Phone: (949) 597-0104
Fax: (949) 597-0106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence SL 1762 (CA) |
|---|
Record details
| NPI number | 1619024601 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDO |
| Sole proprietor | No |
| NPI enumerated | January 4, 2007 |
| Last updated in NPPES | September 22, 2009 |
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