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Individual

DR. BRIAN JAY LANKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
807 WESTERN BLVD, TARBORO, NC 27886-4014
(252) 823-3202
(252) 641-5087
Mailing address
807 WESTERN BLVD, TARBORO, NC 27886-4014
(252) 823-3202
(252) 641-5087

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1305
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09278
BLUE CROSS/BLUE SHIELD
NC
05
8909278
NC
Enumeration date
01/06/2006
Last updated
04/06/2021
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