Individual
JENNIFER A LACSON-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Mailing address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-1011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT11072T
CA
Other
Enumeration date
04/19/2007
Last updated
12/02/2021
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