Individual
DR. ROBERT LANCE CHARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12954 HAWTHORNE BLVD, SUITE 103, HAWTHORNE, CA 90250-4418
(310) 676-1373
(310) 676-1914
Mailing address
12954 HAWTHORNE BLVD, SUITE 103, HAWTHORNE, CA 90250-4418
(310) 676-1373
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G72293
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G722930
—
CA
Enumeration date
07/11/2006
Last updated
10/14/2011
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