HOLLIS LOREN STAVN

SANTA ROSA, CA
NPI1194728527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  6812T)
Enumeration Date2005-05-31
Last Update Date2012-12-20
Business Address
Dr. HOLLIS LOREN STAVN O.D.
2305 MENDOCINO AVE STE B
SANTA ROSA, CA 95403-3157
Phone number: 707-527-9137
Mailing Address
Dr. HOLLIS LOREN STAVN O.D.
2305 MENDOCINO AVE STE B
SANTA ROSA, CA 95403-3157
Phone number: 707-527-9137