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Individual

DR. LANA MARIE MOHR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1600 GRAND CENTRAL AVE, VIENNA, WV 26105-1059
(304) 295-8561
(304) 295-9164
Mailing address
1600 GRAND CENTRAL AVE, VIENNA, WV 26105-1059
(304) 295-8561
(304) 295-9164

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
849 OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149424000
WV
Enumeration date
05/04/2006
Last updated
07/08/2007
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