Mr. Larry L Waggoner, DOCTOROFOPTOMETRY
Mr. Larry L Waggoner, DOCTOROFOPTOMETRY is an Optometrist in Lake Isabella, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
12134 Mt Mesa RdLake Isabella, CA 93240
Phone: (760) 379-3602
Fax: (760) 379-2232
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Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 6133T (CA) |
|---|
Record details
| NPI number | 1710065727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DOCTOROFOPTOMETRY |
| Sole proprietor | No |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | August 23, 2010 |
Other providers in Lake Isabella
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Larry E Waggoner O D Prof Corp
12134 Mount Mesa Rd, Lake Isabella, CA 93240-9690 · (760) 379-3602