Individual
DR. ZANE RENE LAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
310 LOCUST ST., #6, PRINCETON, WV 24740
(304) 487-2020
(304) 431-2020
Mailing address
310 LOCUST ST, #6, PRINCETON, WV 24740
(304) 487-2020
(304) 431-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
807-D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150960000
—
WV
01
—
1344807
FUNDS PROVIDER NUMBER
WV
01
—
410030194
RAILROAD MEDICARE NUMBER
WV
Enumeration date
07/29/2006
Last updated
02/08/2011
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