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Individual

MR. ALAN LENIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1608 WEST MCGALLIARD ROAD, MUNCIE, IN 47304-2205
(765) 289-4727
(765) 751-2207
Mailing address
3300 W FOX RIDGE LN, MUNCIE, IN 47304-5201
(765) 289-4727

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001625B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200047820A
IN
Enumeration date
08/17/2006
Last updated
12/28/2016
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