Organization
ROXBORO FAMILY VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM J LAVELLE OD (OWNER)
(336) 599-0138
Entity
Organization
Contact information
Practice address
917 RIDGE RD, ROXBORO, NC 27573-4511
(336) 599-0138
(336) 599-0080
Mailing address
917 RIDGE RD, ROXBORO, NC 27573-4511
(336) 599-0138
(336) 599-0080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1282
NC
Other
Enumeration date
10/17/2007
Last updated
06/18/2012
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