Individual
DR. ALLEN PAUL LALLANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
125 SUFFOLK AVE, RICHLANDS, VA 24641-2434
(276) 963-0808
(276) 963-7538
Mailing address
125 SUFFOLK AVE, RICHLANDS, VA 24641-2434
(276) 963-0808
(276) 963-7538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000220
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009203567
—
VA
01
—
021335
ANTHEM BC/BS #
VA
Enumeration date
08/10/2005
Last updated
10/15/2008
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