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DR. KATHRYN A BECKMAN O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1598829657
Individual Registrant:DR. KATHRYN A BECKMAN O.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
621 S HAM LN SUITE C LODI, CA 95242-3533 US
Tel: 209-367-1000 Fax: 209-367-1089
Tel: 209-367-1000 Fax: 209-367-1089
Contact information for business:
621 S HAM LN SUITE C LODI, CA 95242-3533 US
Tel: 209-367-1000 Fax: 209-367-1089
Tel: 209-367-1000 Fax: 209-367-1089
Registration Information:
NPI: 1598829657
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | 10471T |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
