Individual
CHARMION LYNN STAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9741 E WASHINGTON ST, INDIANAPOLIS, IN 46229-3035
(317) 869-0308
(317) 869-0975
Mailing address
10172 CLEAR SKY DR, AVON, IN 46123-9898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002811B
IN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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