Individual
DR. RANDAL JAMES FORTNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1158 PARK CITY CTR, LANCASTER, PA 17601-2726
(717) 393-4042
Mailing address
4580 COUNTY ROAD FF, ORLAND, CA 95963-9306
(530) 520-7793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001844
PA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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