Individual
DR. JOEY LYNN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
182 BUCHANAN TRAIL, SUITE 185, MCCONNELLSBURG, PA 17233-8261
(717) 485-4434
(717) 485-9407
Mailing address
PO BOX 697, MC CONNELLSBURG, PA 17233-0697
(717) 485-4434
(717) 485-9407
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OGE000013
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014884720003
—
PA
01
—
50075089
CAPITAL BLUE CROSS
PA
Enumeration date
08/31/2005
Last updated
09/21/2011
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