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Organization

LAWRENCE G. SIMONS

Active
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Organization

LAWRENCE G. SIMONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAWRENCE GLENN SIMONS O.D. (OWNER)
(818) 871-9898
Entity
Organization

Contact information

Practice address
4505 LAS VIRGENES RD, #106, CALABASAS, CA 91302-1956
(818) 871-9898
(818) 871-9797
Mailing address
4505 LAS VIRGENES RD, #106, CALABASAS, CA 91302-1956

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
7352T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WOP7352C
PPIN
CA
01
WY189
GROUP ID
CA
Enumeration date
02/26/2007
Last updated
08/22/2020
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