Joey Lynn Lane OD

NPI 1043203409 - Optometrist - 152W00000X

NPI Details
NPI 1043203409
Gender Male
Enumeration Date 08/31/2005
Last Updated 09/21/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
182 BUCHANAN TRAIL
SUITE 185
MCCONNELLSBURG PA, 17233-8261, US
Phone (717) 485-4434
Fax (717) 485-9407
Business Location
PO BOX 697
MC CONNELLSBURG PA, 17233-0697, US
Phone (717) 485-4434
Fax (717) 485-9407
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OGE000013
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According to our database, Dr. Joey Lynn Lane OD NPI is 1043203409, taxonomy code is 152W00000X and license number is OGE000013, license state is located at Pennsylvania. Joey Lynn Lane OD physically located at 182 Buchanan Trail, Mcconnellsburg PA, 17233-8261. NPI Number Joey Lynn Lane OD has the Individual type.

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1043203409 NPI number is provided on an as is basis without warranty of any kind. 1043203409 is maintained by the National Plan & Provider Enumeration System. The contents of Joey Lynn Lane OD are for informational purposes only.