Individual
LAN O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
870 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-7150
(850) 622-4000
(850) 622-0072
Mailing address
870 MACK BAYOU RD, SANTA ROSA BEACH, FL 32459-7150
(850) 622-4000
(850) 622-0072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3968
FL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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