Individual
JENNIFER CHERRY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12130 JEFFERSON AVENUE, NEWPORT NEWS, VA 23602
(757) 249-1324
(757) 249-1369
Mailing address
P.O. BOX 1056, SUFFOLK, VA 23439-1056
(757) 249-1324
(757) 249-1369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001867
VA
Other
Enumeration date
07/28/2008
Last updated
01/21/2016
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