Individual
BRANDON G LESUEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
845 TWELVE BRIDGES DR, STE 130, LINCOLN, CA 95648-8819
(916) 231-0034
(916) 231-0038
Mailing address
845 TWELVE BRIDGES DR, SUITE 130, LINCOLN, CA 95648-8819
(916) 645-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10061
LICENSE NUMBER
CA
Enumeration date
09/28/2006
Last updated
03/07/2023
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