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
Update your record
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