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Individual

DR. LYNN ELLEN ENGLE-LANEVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
300 ASSOCIATION DR, CHARLESTON, WV 25311-1269
(304) 342-5900
(304) 342-6257
Mailing address
172 MAJESTIC PT, ELKVIEW, WV 25071-9790
(304) 610-3653

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
985-IOD
WV
152WC0802X
Corneal and Contact Management Optometrist
985-OD
WV
152WP0200X
Pediatric Optometrist
985-OD
WV
152WV0400X
Vision Therapy Optometrist
985-OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3101004000
WV
Enumeration date
09/27/2005
Last updated
07/03/2024
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