Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN HANNEGAN, RDO
ActiveCOLLEEN HANNEGAN, RDO is a Optician, Dispensing healthcare provider located in LAKE FOREST, California. NPI 1619024601 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LAKE FOREST, CA
Registration Details
- NPI Number
- 1619024601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2007 (19.640349717152 yrs)
- Last Updated
- Sep 22, 2009
- License
-
SL 1762 (CA)
Practice Information
- Address
-
21098 BAKE PKWYSUITE 110LAKE FOREST, CA, 926302163Browse CA providers · Browse ZIP 92630
- Phone
- 9495970104
- Fax
- 9495970106
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.