Individual
LAN HENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3124 S 3450 W, WEST VALLEY CITY, UT 84119-2522
(801) 635-7372
Mailing address
3124 S 3450 W, WEST VALLEY CITY, UT 84119-2522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008620
NY
Other
Enumeration date
05/26/2017
Last updated
06/22/2017
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