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Organization
LAWRENCE C WATSON OD A PROFESSIONAL OPTOMETRIC CORP.
Active
Organization
LAWRENCE C WATSON OD A PROFESSIONAL OPTOMETRIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WATSON OD (PRESIDENT)
(760) 346-1136
Entity
Organization
Contact information
Practice address
73211 FRED WARING DR STE 102, PALM DESERT, CA 92260-2871
(760) 346-1136
(760) 568-1589
Mailing address
73211 FRED WARING DR STE 102, PALM DESERT, CA 92260-2871
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT5967TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0059670
—
CA
Enumeration date
11/26/2007
Last updated
06/11/2009
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