Larry E Waggoner (NPI# 1710065727, PAC ID# 0042407975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1710065727 |
| PAC ID by PECOS | 0042407975 |
| Professional Enrollment ID | I20110110000579 |
| Full Name | Larry E Waggoner |
| Address |
12134 Mountain Mesa Rd Lake Isabella CA 93240-9690 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1976 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 12134 Mountain Mesa Rd, Lake Isabella, CA 93240-9690 |
| Street Address |
12134 MOUNTAIN MESA RD |
| City | LAKE ISABELLA |
| State | CA |
| Zip | 93240-9690 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Stirling | Chiropractic | 3615 Wagon Wheel, Lake Isabella, CA 93240-9300 | |
| Mushtaq Ahmed | Pulmonary Disease | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Ned Devasia | Internal Medicine | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Arvind S Shah | Nephrology | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Rocio Lopez | Nurse Practitioner | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Peter S Mccauley | Nephrology | Advanced Kidney Medical Group | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Navdeep Kaur | Nurse Practitioner | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Kusum Desai | Pulmonary Disease | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Davia Cheri Starkey | Physician Assistant | San Joaquin Valley Pulmonary Medical Group, Inc. | 6621 Lake Isabella Blvd, Lake Isabella, CA 93240-9480 |
| Gregory D Davis | Physician Assistant | Kern Valley Healthcare District | 6412 Laurel Ave, Lake Isabella, CA 93240-9529 |
| Find all physicians in zip 93240 | |||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
| Specialty | OPTOMETRY |
| City + Specialty | LAKE ISABELLA + OPTOMETRY |
Please comment or provide details below to improve the information on Larry E Waggoner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.