| NPI | 1437636255 |
|---|---|
| Former Legal Business Name | JACQUELINE M. CULLINANE |
| Doing Business As | LAKE FOREST OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | TERESA BIEDA Office Manager 949-581-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 10306TPG) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-11-06 |