Mary Lee Pemberton O.D.

NPI 1003802422 - Optometrist - 152WC0802X

NPI Details
NPI 1003802422
Gender Female
Enumeration Date 09/21/2005
Last Updated 02/14/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
2522 JEFFERSON HWY
SUITE 106
WAYNESBORO VA, 22980-8503, US
Phone (540) 946-8727
Fax (540) 949-5526
Business Location
2522 JEFFERSON HWY
SUITE 106
WAYNESBORO VA, 22980-8503, US
Phone (540) 946-8727
Fax (540) 949-5526
Toxanomy
Taxonomy Code 152WC0802X
License State Virginia
License Number 0618000738
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According to our database, Dr. Mary Lee Pemberton O.D. NPI is 1003802422, taxonomy code is 152WC0802X and license number is 0618000738, license state is located at Virginia. Mary Lee Pemberton O.D. physically located at 2522 Jefferson Hwy, Waynesboro VA, 22980-8503. NPI Number Mary Lee Pemberton O.D. has the Individual type.

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1003802422 NPI number is provided on an as is basis without warranty of any kind. 1003802422 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Lee Pemberton O.D. are for informational purposes only.