Organization
DR KINGMAN LOUIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE MUGUAN LEELOUIE O.D. (OFFICE MANAGER)
(916) 691-2020
Entity
Organization
Contact information
Practice address
9098 LAGUNA MAIN ST, SUITE 3, ELK GROVE, CA 95758-7449
(916) 691-2020
(916) 691-2330
Mailing address
9098 LAGUNA MAIN ST, SUITE 3, ELK GROVE, CA 95758-7449
(916) 691-2020
(916) 691-2330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6733
CA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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