Male or Other

Dr. Lance Mcnaughton O.D., PH.D.

Optometrist in Jb Andrews, MD(View on Map)

Full Name

Dr. Lance Mcnaughton O.D., PH.D.

NPI Number

1003940453

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/16/2007

Specialties

(Taxonomies)

Code

152W00000X
152WC0802X

Primary Taxonomy

Yes
No

Licenses

State

California
California
District Of Columbia
Maryland
Virginia

License Number

13892T
OPT13892TPA
OP2000527
TA2019
0618001819

Contact
Information

Purpose

Mailing
Location

Address

79 POTOMAC AVE SE APT 916
1811 G ST

City

Washington
Jb Andrews

State

DC
MD

Postal Code

20003-3746
20762-5677

Country

US
US

Telephone Number

(714) 272-7480
(301) 735-1393

Identifiers

Identifier

CX089Z

Identifier State

CA

Identifier Issuer

MEDICARE PTAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/24/2022

Provider Address

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Female

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Female

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