Individual
KENNETH A LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
230 W MAIN ST, LEWISVILLE, TX 75057-3864
(972) 221-2564
(972) 436-7964
Mailing address
230 W MAIN ST, LEWISVILLE, TX 75057-3864
(972) 221-2564
(972) 436-7964
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02435
TX
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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