Individual
DR. BENJAMIN CLARENCE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD, MPH, FAAO, FACN
Contact information
Practice address
16 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-2502
(973) 335-0111
(973) 541-1649
Mailing address
16 N BEVERWYCK RD, LAKE HIAWATHA, NJ 07034-2502
(973) 335-0111
(973) 335-2882
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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