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Organization

PAUL LALLANDE, OD, PC, DOCTOR OF OPTOMETRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE CLERC LALLANDE (SECRETARY-TREASURER)
(276) 963-0808
Entity
Organization

Contact information

Practice address
125 SUFFOLK AVE, RICHLANDS, VA 24641-2434
(276) 963-0808
(276) 963-7538
Mailing address
125 SUFFOLK AVE, RICHLANDS, VA 24641-2434
(276) 963-0808
(276) 963-7538

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000220
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009203567
VA
01
021335
ANTHEM BLUE CROSS
VA
Enumeration date
03/23/2007
Last updated
09/16/2014
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