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Organization
NGUYEN AND LAC, A PROFESSIONAL CORPORATION
Active
Organization
NGUYEN AND LAC, A PROFESSIONAL CORPORATION
Active
Other names
The Vision Shop Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYEN CAM LAC O.D. (CEO)
(714) 785-0333
Entity
Organization
Contact information
Practice address
12345 MOUNTAIN AVE, SUITE X, CHINO, CA 91710-2783
(909) 548-0300
Mailing address
12345 MOUNTAIN AVE, SUITE X, CHINO, CA 91710-2783
(909) 548-0300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13154T
CA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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