Provider First Line Business Practice Location Address:
67 LAKEWOOD CENTER MALL
Provider Second Line Business Practice Location Address:
J C PENNEY OPTICAL
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90712-2417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-634-7000
Provider Business Practice Location Address Fax Number:
562-630-0176
Provider Enumeration Date:
03/20/2007