Individual
DR. LOU SANANIKONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
595 S GALLERIA WAY, CHANDLER, AZ 85226-4932
(480) 375-2054
Mailing address
595 S GALLERIA WAY, CHANDLER, AZ 85226-4932
(480) 375-2054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12489
CA
152W00000X
Optometrist
Primary
1419
AZ
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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