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Individual

MARC A HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
30 CROSSING LANE, STE. 107, LEXINGTON, VA 24450-6354
(540) 463-9350
(540) 463-1722
Mailing address
30 CROSSING LANE, STE. 107, LEXINGTON, VA 24450-6354
(540) 463-9350
(540) 463-1722

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152W00000X
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009235728
VA
01
106018
ANTHEM PROVIDER NUMBER
VA
Enumeration date
12/07/2005
Last updated
04/24/2009
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