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Organization

DR LUQUE OD, APOC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE-JIUAN LUQUE OD (PRESIDENT)
(661) 942-7007
Entity
Organization

Contact information

Practice address
26471 CARL BOYER DR, SANTA CLARITA, CA 91350-2996
(661) 288-2068
(866) 926-9833
Mailing address
PO BOX 801002, SANTA CLARITA, CA 91380-1002
(661) 942-7007
(866) 926-9833

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11937TLG
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0119370
CA
Enumeration date
09/20/2011
Last updated
09/10/2015
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