Liana Yungay Lam, OD | |
3900 Lakeville Hwy, Petaluma, CA 94954-5698 | |
(707) 765-3930 | |
Not Available |
Full Name | Liana Yungay Lam |
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Gender | Female |
Speciality | Optometrist |
Location | 3900 Lakeville Hwy, Petaluma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437291028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 10706T (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Liana Yungay Lam, OD 561 Atherton Ave, Novato, CA 94945-2632 Ph: (415) 897-9898 | Liana Yungay Lam, OD 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3930 |
Lakeville Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 855 Lakeville St, Suite 102, Petaluma, CA 94952 Phone: 707-763-1423 Fax: 707-981-4582 | |
Dr. Marques Joseph Bostic, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7707 | |
Dr. Richard B Boyle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1390 N Mcdowell Blvd Ste F, Petaluma, CA 94954 Phone: 707-795-7433 Fax: 707-795-7359 | |
Gordon Miles Wong, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 66 E Washington St, Petaluma, CA 94952 Phone: 707-778-1048 Fax: 707-778-0113 | |
Dr. Ronald Lee Harris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1225 North Mcdowell Blvd., Petaluma, CA 94954 Phone: 707-763-2020 Fax: 707-763-4735 | |
Dr. Richard Cole Aston, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 345b S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-778-1961 Fax: 707-778-1369 |