Individual
DR. BENJAMIN CLARENCE LANE
Active
Individual
DR. BENJAMIN CLARENCE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, MPH, FAAO, FACN
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
27OA263500
NJ
Other
Enumeration date
06/14/2006
Last updated
03/27/2009
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