LISA FONTAINE

THOUSAND OAKS, CA
NPI1134341944
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  10988T)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
Dr. LISA FONTAINE O.D
145 W. HILLCREST DR.
THOUSAND OAKS, CA 91360
Phone number: 805-496-9059
Mailing Address
Dr. LISA FONTAINE O.D
8050 JOVENITA CANYON ROAD
LOS ANGELES, CA 90046
Phone number: 562-716-1870