Search › California › 152W00000X
Larry Waggoner, DOCTOR OF OPTOMETRY
NPI 1710065727 · on the registry since 2006
Practice
- Address
- 12134 Mt Mesa Rd
Lake Isabella, CA 93240 - Phone
- (760) 379-3602
- Fax
- (760) 379-2232
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California