person
Colleen Hannegan, RDO
Optician in Lake Forest, California
NPI 1619024601

Colleen Hannegan is a Optician based in Lake Forest, CA and is specialized in Optician. Colleen Hannegan practices in Lake Forest, CA and has the professional credentials of RDO. The NPI Number for Colleen Hannegan is 1619024601 and holds a License No. SL 1762 (California).

The current practice location address for Colleen Hannegan is 21098 Bake Pkwy, Lake Forest, CA and can be reached out via phone at 949-597-0104 and via fax at 949-597-0106. You can also correspond with Colleen Hannegan through the mailing address at 21098 BAKE PKWY, LAKE FOREST, CA - 92630-2163 (mailing address contact number: 949-597-0104).

Location: 21098 Bake Pkwy, Lake Forest, CA, 92630-2163
person
Provider Profile Details
NPI Number
1619024601
Provider Name
Colleen Hannegan
Credential
RDO
Provider Entity Type
Individual
Gender
Female
Address
21098 Bake Pkwy, Lake Forest, CA, 92630-2163
Phone Number
949-597-0104
Fax Number
949-597-0106
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21098 Bake Pkwy
City
State
Zip
92630-2163
Phone Number
949-597-0104
Fax Number
949-597-0106
person
Provider Business Mailing Address Details
Address
21098 Bake Pkwy
City
State
Zip
92630-2163
Phone Number
949-597-0104
Fax Number
949-597-0106
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
SL 1762 (California)
Definition
Definition to come...
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