Individual
DR. EDWARD C WARREN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
24 HANOVER ST, SUITE 3A, LEBANON, NH 03766-1334
(603) 448-2111
(603) 448-2443
Mailing address
155 MAPLE ST, WHITE RIVER JUNCTION, VT 05001-7029
(603) 448-2111
(603) 448-2443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0464
NH
152W00000X
Optometrist
Primary
30-0000233
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005950
—
VT
05
—
30003749
—
NH
Enumeration date
06/15/2006
Last updated
06/10/2020
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