Individual
DR. AMANDA RICHARDS LAKUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
112 N AKERS ST STE A, VISALIA, CA 93291-5121
(559) 733-4372
(559) 733-1758
Mailing address
112 N AKERS ST STE A, VISALIA, CA 93291-5121
(559) 733-4372
(559) 733-1758
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101254763
VA
207W00000X
Ophthalmology Physician
Primary
C154815
CA
207W00000X
Ophthalmology Physician
D79626
MD
Other
Enumeration date
04/30/2007
Last updated
08/15/2024
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