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Contact Information

LISA J QUANG, OD
3925 OLD REDWOOD
MEDICAL OFFICE BUILDING 4, SUITE 141
SANTA ROSA, CA95403
 Phone: 707-566-5330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LISA J QUANG · (Female)

NPI Number 1447746524
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/02/2018
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 33962
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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