Organization
JACQUELINE M. CULLINANE,O.D. A PROFESSIONAL CORPORATION
Active
Other names
Jacqueline M. Cullinane, Lake Forest Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BIEDA (OFFICE MANAGER)
(949) 581-6880
Entity
Organization
Contact information
Practice address
22741 LAMBERT ST STE 1601, LAKE FOREST, CA 92630-1617
(949) 581-6880
(949) 581-1341
Mailing address
22741 LAMBERT ST STE 1601, LAKE FOREST, CA 92630-1617
(949) 581-6880
(949) 581-1341
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10306TPG
CA
Other
Enumeration date
07/24/2018
Last updated
11/06/2018
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