Dr LARRY E WAGGONER is a male medical professional, specializing in Optometry. He graduated in 1976 from Southern California College Of Optometry.
12134 MOUNTAIN MESA RD
LAKE ISABELLA
CA
932409690
Tel:
| Npi | 1710065727 |
| Pac Id | 0042407975 |
| Professional Enrollment Id | I20110110000579 |
| Last Name | WAGGONER |
| First Name | LARRY |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1976 |
| Primary Specialty | OPTOMETRY |
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| Line 1 Street Address | 12134 MOUNTAIN MESA RD |
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| City | LAKE ISABELLA |
| State | CA |
| Zip Code | 932409690 |
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| Professional Accepts Medicare Assignment | M |
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