Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 18736 | CA |
Y | 156FC0801X | Contact Lens Fitter | 18736 | CA |
NPI | 1356534796 |
---|---|
Provider Name | Dr. Deborah Leigh Hawes |
First Address | Indio, CA 92201 |
Second Address | Indio, CA 92201-5488 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 20/08/2007 |