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Individual

DR. MEGAN JUSTINE LEE LAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(425) 216-0550
(425) 216-0551
Mailing address
3925 159TH AVE NE, REDMOND, WA 98052-6309
(425) 216-0550
(425) 216-0551

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
14672
CA
152W00000X
Optometrist
Primary
60629205
WA

Other

Enumeration date
03/09/2011
Last updated
07/20/2016
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