Individual
LORRAINE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3905 61ST ST, 2ND FLOOR, WOODSIDE, NY 11377-3566
(347) 448-5366
Mailing address
19213 UNION TPKE, FRESH MEADOWS, NY 11366-1865
(718) 468-7500
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008626-1
NY
Other
Enumeration date
05/19/2009
Last updated
08/25/2022
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